I Still Have Puffy Nipples Even After Having Ultrasonic-Assisted Liposuction

Pictures would be very helpful in answering this question.  You may need a direct excision of glandular tissue in the subareolar region to make the nipple and areola area flatter.  Good luck and be safe.John T.
Nguyen, MD, FACS, FICSDouble Board
Certified Plastic Surgeon

Thank you for the question.

The most common reason for having continued “puffy nipples” after liposuction surgery is the presence of breast tissue (gynecomastia).

I have found that gynecomastia is often best treated with  partial excision of the prominent glandular tissue  as well as liposuction surgery of the peripheral chest area.  If the prominence of the chest wall is caused by adipose tissue, then liposculpture surgery alone may suffice.

I would strongly suggest that you make sure you are working with a well experienced board-certified plastic surgeon. 

Best wishes.