Getting a BA, don't like how unnatural the shaped nipples look, they look so unnatural to me, are there other options?

There are several options to improve the shape and size of the nipples. You should have a consultation with a plastic surgeon for further evaluation. 

Congratulations on your upcoming breast augmentation, TXSTgirl19!I agree with you -- the "shaped" nipple following a breast lift generally does not look totally natural, regardless of how well the scar heals and fades, and there is a somewhat "pasted on" look. A "verticle" breast lift technique gives a more balanced, natural appearance of the nipple, in my opinion. Also, this technique has the potential to shape the breast to a more pleasing shape. I definitely don't like the resultant look of the nipples with a "donut" breast lift (except in unique situations such as a severe tuberous breast) that often is recommended to address just the nipples, and I have quite a few patients that come to me for revision. I would recommend that you look at photos of straight breast augmentations and augmentations with lift that you surgeon has performed in the past to help you decide. If you are still on the fence, you might also consider proceeding with just the BA and return for a breast lift at a later date if you are still unhappy with your nipples. Best of luck to you, and I hope you achieve the results you were looking for!  Dr. Ghafoori