Hi, I think this is within the spectrum of normal. There are ways to contour the surface of the nipple without changing the functional ability to breast feed in the future. I would visit with a breast surgeon to get an initial evaluation but a visit to a board certified plastic...
Prominent nipples can be trimmed in a relatively simple procedure done under local anesthesia. a 'puffy nipple' where the whole nipple and areola complex seem swollen and protruding can also be treated with a procedure under local anesthesia that involves a small incision around the edge...
There are a couple different ways to get larger nipples and areolas. It partly depends upon what you're starting with. Assuming you are starting with a small nipple and areola sometimes you can simply inject filler ( like Juvederm or Restylane) into the nipple to help it project. This will last...