What are my options for my puffy/inverted nipples? Age 22. (Photos)

I would recommend a breast augmentation with a papule reduction. The breast implant will help push out some of the nipple tissue and the reduction would help make it more symmetric.

Hi Liv8204

The most common reasons for nipple reconstruction are:

- Elongated or stretched nipples
- Overly wide nipples
- Inverted nipples
- Reduce the size of the areola
- Correct the projection of the nipple
-Improve the overall shape and size of the nipple
For more information about this procedure, please visit our website.

There are a lot of factors to consider when it comes to puffy or inverted nipples. An examination would have to been done to find out what best fits you.
This is a common procedure that most people don’t even know is an option. Surgeons can improve puffy or inverted nipples with a wide variety of surgical and nonsurgical simple office procedures under local anesthesia.
This can typically be done in the office under local anesthesia. Usually there are no drains, no outside stitches, and patients can go out in public the same day. Most of the initial swelling is from the numbing medicine and your body absorbs it within the first 4-6 hours. Obviously the body heals with swelling and inflammation and usually that maxes out at two days and then starts getting better. Most of these patients take no pain medicine and usually feel very comfortable going out in public within a few days.  I usually call my patients the night of surgery and check on them the next day. If everything is fine the next day, I then let them shower and they do not need a dressing over their incisions. They can usually start using make up after a few days.  At the two week check up, I usually have people start working out and then after six weeks they can do whatever they want. 
Additionally with recovery, there're many things we do to expedite healing such as nerve blocks during surgery, oral supplements, skin care and scar therapy recommendations, lymphatic massage sessions that are included in our pricing.
I strongly feel that it's very important to have an honest conversation with your surgeon about your particular situation, lifestyle, work environment and specifically which procedures you're having done so that you both have the most honest answer about your recovery and are realistic with expectations and results.
I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of breast and nipple surgery.
I hope this helps and wish you all the best in your surgery and event. If it does, please take a moment to up vote this answer on the “respond” button on the top right.