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The usual reason behind a 'puffy nipple' is male breast tissue, which is referred to as gynecomastia. This glandular tissue does not respond well to liposuction and you may require an open excision to remove the gland. I would advice seeing a Plastic Surgeon to discuss.
Liposuction does not address puffy nipples. An open excision may be needed, however, an in-person examination will be needed. Schedule an appointment with your board-certified plastic surgeon
Liposuction under tum. local would make a big improvement in your tummy , pubic area and flanks and is easy to undergo. Avoid the big tummy tuck scar as long as you can.
Thanks for the photos. You look like an excellent candidate for liposuction. I would be careful not to over suction. You want to maintain feminine curves and softness. And your waistline is lovely, I wouldn't touch that!
The best answer to this question relates to is this "swelling" or is it the beginning of the longer term healing process, or some of both. Immediately following surgery the new shape is easily seen. Then "post op" swelling settles in and builds for 2-3 days and then begins a resolution phase ...