What can I do for a swollen nipple that’s been swollen for years due to a nipple bar? (Photo)

Thanks for the question - it is difficult to say with out physically examining this area. I would consider a steroid injection into the lump areas if they are quite hard and keloid like. If it is that the area is soft but enlarged, then the option is to cut it away and reconstruct the defect. The method of recon would be determined following examination of the area to ascertain the amount of skin laxity present. I hope this is of some help  to you

Nipple reduction and shaping to make it symmetric with contralateral, normal nipple is the best solution. It can be done in local anesthesia with no downtime. In person evaluation is recommended. Good luck.

Thank you for your question. It is hard to tell from your photos, but I would recommend removing the nipple bar to start and then consult a board certified plastic surgeon to assess the next steps best for you. Thank  you for your question and best of luck. 

Dear SeanEcky,it is hard to tell for sure without an examination. If you are considering a treatment, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hi and thank you for the question. It looks like you have formed a keloid scar. I think your best chance of improving the appearance of the nipple would be to remove the bar and excise the scar tissue. That could be done in the office under local anesthesia. Best of luck to you.
Dr West