Will my puffy nipples go away? (Photo)

Some patients, both male and female, demonstrate herniation of breast tissue into the areola.  Fortunately, this can be addressed by removing some of the gland, "scoring" the remaining tissue to make it more flat, and sometimes even removing a ring of skin to make the skin envelope tighter.  These procedures can even be performed in the office setting.  Consider a formal consultation with a BCPS if you are troubled to discuss your treatment options.  

Hello,  sometimes a person's nipple & areola shape will change as the person grows and develops.  They still might change as an adult, for example during pregnancy and childbirth.  If they don't change then there are surgical techniques to decrease the puffy appearance.  During a consultation with a plastic surgeon they will explain the options and their potential risks and benefits.

Hi and thank you for the question. It's hard to get a full sense of things with the photo you sent. A front and profile view that is not so tightly cropped would be ideal. That being said, it does appear that you have a "tuberous" breast or some degree of constricted breast. Patients with this typically have a tight, underdeveloped lower pole of the breast along with puffiness of the areolas. We often improve this with breast implants and a lift (mastopexy). I would try seeing a few board certified plastic surgeons in your area who have excellent reputations for breast surgery. Best of luck.
Dr West

Thank you for the question.
Areola reduction  involves  circumferentially removing areola  skin  around a smaller areola design. This procedure can be done under local or general anesthesia. It is often  done as part of a breast augmentation/lift,  breast lift or breast reduction  procedure. If the areola are "puffy" (for example, as seen with constricted or tuberous breasts) some breast tissue excision may be helpful.

Patients should be aware that despite best efforts scarring will be visible and potentially abnormal ( possibly thick, raised and/or pigmented).  Some areola  asymmetry may also  be present after surgery.  Their is a small chance that  a patient may lose sensation.

As with all plastic surgical procedures, patients must weigh the potential benefits against the potential risks/complications while making decisions.

I hope this helps.