My nipples are still puffy 1 week post-op, is this just swelling?

It is way too soon to see your final result. Swelling can last for several months. If after all the swelling has resolved and you still have a large areola it can be reduced as an office procedure. Good luck.

I appreciate your concern, but after only one week from surgery, you are experiencing normal swelling and this will resolve with time. It can take as long as six months, so try to stay patient. Follow up with your plastic surgeon. Good luck.

Good day, thank you for your question.  Gynecomastia surgery can take up to 6 weeks for the initial swelling to dissipate, it is too early for you to properly assess your results.  Only at 6 months will you be able to see the final look, at which point you can consult with a board certified plastic surgeon to discuss any issues that be still be present.All the best