How can a woman get rid of puffy nipples?

Thank you for the question.Despite your good description, it will be in your best interest to be examined in person for precise advice.Generally speaking, areola size and “puffiness” can be corrected surgically. You should be aware that sometimes “puffy” areola are part of a constricted/tuberous breast anomaly. You should also consider potential downsides, such as scarring around the areola.Correction of the size/puffiness of the nipple/areola complexes should be timed appropriately;  for example, it will likely be in your best interest to have completed pregnancies before undergoing this procedure.I would suggest in person consultation with well experienced board certified plastic surgeons.  You may find the attached link, helpful to you as you learn more.Best wishes.