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

This may only be corrected with surgery. To treat puffy nipples, you may need excision. This would be done by making an incision  around the  areola to remove excess tissue. This could work for you.However, please see an experienced board certified plastic surgeon to determine whether this procedure is suitable for you.

Sometimes the puffiness can be breast tissue, sometime this can be fat.  The breast tissue will be difficult to sculpt with just lipo and may require an excision.  An examination by a plastic surgeon would be the way to get the best advice.

It is difficult to give a full answer from looking a one photo and not a direct in person examination.  I have many male patients with a similar concern.  I perform a surgery to remove the breast tissue under the nipple and areola complex.  This will help take away the projection and female appearing breast.  Consult with a Board Certified Plastic Surgeon.