I have puffy nipples. Is there any chance they will get bigger if I press them often? (Photo)

You likely have some breast tissue below your nipples and areola.  I would suggest direct excision of the tissue to flatten out the contour of the nipples and areola.  Good luck and be safe.John T. Nguyen, MD, FACS, FICSDouble Board Certified Plastic Surgeon

Puffy nipples can be treated by making a small incision under the areola and excising a small amount of the glandular breast tissue directly under the areola/nipple