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Considering a breast reduction - should I be concerned about raised bump on nipple? 5'1, 200 lbs, DD cup.(photos)

Forceful334055
I am 200 pounds and I am brown skin I have very large breast in a DD bra size type I'm 5"1 and I'm looking to get a breast reduction done because of back problems but I am concerned about a raised bump on the bottom of my nipple. Im not sure if it's from sweating under breast or a swollen Montgomery gland. Could you please help me out.

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