Partial Gland Excision Only (No Liposuction) to Reduce Volume: Is This Recommended? (Photos)

Hello Doctors, I am a 34 year old male, 186 cm, 106 kg. I want to correct my puffy or protruding nipples without changing my overall chest volume or getting liposuction. A surgeon agreed to perform a targeted partial gland excision behind the areola. He described it as a simple procedure, noted he has not done this exact partial only approach before, and mentioned micro fat grafting might be needed later for refinement. I attached actual photos and AI generated images showing the exact minimal change I want, which is fixing the puffiness while keeping the surrounding chest volume intact. I would love to get your overall professional thoughts on this approach. Specifically, I would appreciate any insights on how leaving surrounding tissue affects healing compared to a full excision, and what considerations apply when a surgeon performs this specific variation for the first time. Thank you!