Puffy Nipples On 27 Y/O Male. What Do You Recommend? (photo)

I'm a 27 year old male with very puffy nipples. I know there's surgery that can reduce tissue under the nipples to flatten them. However, when my nipples get erected (e.g. from low temperature) they lose all the soft puffiness, reduce significantly in size, somewhat flatten and become hard. To constantly have them that way, perhaps combined with surgery to make them even more flatten, would be ideal. I know a lot of women get that after breast surgery, could something similar work for me?