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For what it's worth to add to the various scenarios, I have naturally large breasts, and I worry about the southbound direction. As for my nipples however, they are quite small, very small and fairly pale. Interestingly, as much as I wanted to breast feed my son (the tightening up of the uterus & calorie requiring nature is enough reason even if you don't feel inclined to provide natural milk for your child) that alone, was worth it, but, due to their small size, i guess, I could not even express enough to sustain him after about 6 weeks. And I was returning to work. I also had trouble feeding him, I suspect it was how small the nipples were and how little their output was that made it so hard for him. My breasts were huge and rock hard and hurting. IN the end, we settled for those initial 6 weeks that I hope gave him some of the antibodies at least initially. And he switched to formula with no problem, in fact he improved in weight gain. Despite the size of my breasts the small nipples, that scarcely turned just slightly darker, but the size of the breasts alone don't determine ability to breast feed.