Can breast fat transfer reduce the look of puffy nipples?

Hello @Affectionate638676 thank you for your question and showing your pictures. You can obtain a better breast shape by performing a Lipo transfer, making them look much more harmonious and with a better ratio between the size of the areola and the shape of the breast. Best wishes! Alan Gonzalez MD, FACS

You could consider areolar reduction but you have to weight the risks of a scar around your areolar. Fat grafting may give you more a cup size or less more volume that can dissipate with time and may need to be repeated. A small implant is a more reliable way to get more volume.

Dear Affectionate638676,
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.The type of surgery best for you will depend on the severity of your condition.My preferred technique for tuberous breast correction involves a multistep procedure where the breast tissue is released in a radial pattern to prevent herniation into the areola and placement of a custom implant size is in the breast to allow appropriate expansion of the breast in the restricted dimensions. This can often be done in a single procedure but sometimes may require two surgeries.That said, it is best that you visit a board-certified plastic surgeon for an in person examination. 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