I want to have a puffier nipples. How can this be done? (photo)

It is possible to achieve larger nipples using various techniques. Injection of filler would be the easiest; lasts about 6-9 months. Fat grafting may also be considered with more longevity but may need to be repeated to build sufficient bulk. Use of local tissue from areola in the form of flap to enlarge areolas permanently is the best option but would leave permanent scar. Hope this helps.

Nipples can be made to be more prominent or "puffier" by adding fat grafting into the area. Another option is to use injectable fillers although these last up to a year and may feel firm. Hope this helps!

Johnson C. Lee, MD
Board-Certified Plastic Surgeon