How can I flatten puffy nipples caused by tubular breast tissue without changing breast size? (photos)

Ivve had 2 consultations in 2 yrs. Both doctors have encouraged that breast augmentation would be the answer, however, I dont want to change the size of my breasts. Ive been told in that reduction isnt possible for me, as my nipples are already small, it would leave bad scarring, and the end result would still look 'puffy'. I was told removing the tissue will kill the nipple or grow back.This is my biggest insecurity, it makes me hate myself. My goal is for them just to have a flatter appearance