Areola puffy? (Photos)

Hello, I have 18 years and have always had the areola swollen, flat nipple and areola size is large enough for a small breasts. One advantage is that when it's cold shrinks the areola and nipple looks normal and areola is smaller. I went to a plastic surgeon and did not tell me anything about my breasts are tuberous but I have my doubts. I wonder why my looks puffy areola but when it's cold looks normal. Can you fix this with surgery?

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