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How can I fix inverted puffy nipples? (Photo)

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My nipples have been inverted all my life but seemed to have gotten more puffy more recently, I heard piercing then is a solution would it help me or is surgery my only option.

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Dr. Stefan Mark Szczerba, MD
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Dr. George Volpe, MD
Board Certified Plastic Surgeon
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Dr. Luis A. Cenedese, MD, FACS
Board Certified Plastic Surgeon
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Dr. Kenneth R. Francis, MD, FACS
Board Certified Plastic Surgeon
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Dr. Steven Wallach, MD
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