What could be done about my puffy nipples and pointy breasts? (Photos)

Your ‘puffy nipples’ are a result of a mild tuberous breast deformity. It occurs because of a constrictive ring that acts to restrict your breast as it develops and increases in size on your chest wall. The breast gets larger and larger but it can’t get through the band. The breast continues to grow and get larger and keeps on trying and pushing to get through the ring. Eventually enough force builds up and the breast is able to ‘pop’ through the ring but now there is too much tissue that escapes through the band and it ‘poofs up’.
To correct this deformity you can undergo a breast augmentation which can change the triangular shape to a more round shape and have an incision around the areolae with can flatten the puffiness of the nipple. The change can be very significant and can produce a really nice result.

Thanks for your question and pictures. This breast shape, known as tuberous breast, is something that plastic surgeons see all of the time. If you are happy with your current breast size, then a "breast lift" procedure could be performed. I used the "" because you don't need a lift as much as you need flattening of the shape. In this case the Benneli or donut lift is ideal. The scar would be placed only around the edge of the areola. Best of luck!BH

Dear tking2242,tuberous breasts are not simply small or underdeveloped breasts. The appearance of the breast can range from mild to severe, and typical traits include: enlarged, puffy areola, rather wide spacing between the breasts, very little breast tissue, sagging, higher than normal inferior breast fold, and narrow base at the chest wall. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery