Vallerina i am so sorry this was your experience. Sounds like the company you went to was more interested in themselves than helping your recovery process. How awful. Yes Peta used permanent ink. She had a free consult with me prior to the appointment to discuss options and ask exactly what i wanted. She had another discussion with me immediately before the tattoos to confirm my options/wants. She offered numbing before we stated. She constantly asked me how i was feeling/pain levels during. She was happy to do whatever shape i wanted. And i get a free follow up(in a few weeks), to touch up, or to add more 3D affect as i desire. It cost me $400 all up for both breasts.
I was in a private room, door closed, and she made sure i put a blanket over myself if she left the room.
Sorry your nipple flattened, i think they can add filler if this happens? Ask your PS about options.
Hope you are feeling better.