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From what I've heard, when breastfeeding, the milk doesn't just come out the front, it comes out from multiple little holes, so I imagine nipple piercings would just be a couple extra holes.
I had a guy friend who had his nipples pierced, and they were never "soft" again... always erect, even when he took the piercings out. So if you don't mind having that cold look, then go for it. =)
As for gauge size, my belly ring is a 14 gauge, so I imagine that nipples are a 16. When I take my ring out, there's a small hole, but I haven't let it close up, so I don't know about scarring.
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Don't trust anything that can bleed for a week and not die. Oh wait, that's me... nevermind... you can trust me. 
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