My Nipples Seem Weird, Puffy, and Stick Out. I Havent Had Surgery? (photo)

The puffiness that you see is a normal variant of the breast known as a tuberous breast. If your breasts are still changing and evolving from puberty, this puffiness may improve. However, if your breasts have reached maturity and you wish to improve this, surgical resdistribution of the breast tissue (commonly accompanied with a breast implant) is an option.

You have a mild variant of what we call tuberous breast where the breast tissue is actually protruding through the areola. You should do very well with augmentation.