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.

Based on your pictures, You appear to have a tuberous breast malformation in your breast, which is often referred to as tubular breasts or constricted breasts, occurs when the breasts become abnormally long or cylindrical. When breast tissue doesn't develop normally throughout puberty, this happens.
The following are typical characteristics of tuberous breast deformity:
-Longer shape: Rather than being spherical, the breasts seem more tubular or cylindrical.
-Narrow base: The breast's base is smaller than it should be.
-Enlarged areola: There may be a greater than usual amount of pigmentation surrounding the nipple.
-Inversion of the nipples: The nipples may point inward.
There are a few surgical techniques to change the form of your breasts if you're not pleased with how they look, and I believe a mix of these methods would work best in your situation.
-Breast augmentation is the process of putting breast implants to give the breasts more volume and form.
-maastopexy :Lifting and reshaping the breasts is known as maastopexy, and it is frequently paired with breast augmentation or reduction.
-Areola Reduction: You might get your areolae reduced if they are noticeably big.
It's crucial to speak with a licensed plastic surgeon to see you and after exam, he can go over your alternatives and choose the best course of action for your unique requirements and objectives.
Hope this was helpful
Best wishes
Dr Ali Sajjadian (Triple Board Certified plastic surgeon)

Hi, thanks for your question. From your pictures it looks as though you may have tubular breasts. These aren't cause for concern from a medical standpoint, but if they cause you insecurity, I recommend that you book an in person consultation with a board certified plastic surgeon in order to explore your cosmetic options.