Scars on areola around nipples from previous piercings (Photo)

I had gynecomastia surgery about a year ago (scars are next to invisible), prior to the surgery I had my nipples pierced which had caused some. scarring. Tried silicone sheeting for about a year with no change. My gynecomastia is gone but my nipples can still look 'puffy' from the raised scar tissue. It also seems to make them pucker in the middle. Is this something that could be excised or revised? Thoughts? Advice? Thank you in advance!