How can I make my nipples smaller?

A nipple reduction is a simple procedure that will resolve your problem.  Please see a board certified plastic surgeon.

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.

Prominent nipples can be trimmed in a relatively simple procedure done under local anesthesia.  a 'puffy nipple' where the whole nipple and areola complex seem swollen and protruding can also be treated with a procedure under local anesthesia that involves a small incision around the edge of the areola and removal of some of the gland tissue from directly under the nipple/areola

Even if you work out, puffy nipples can be made smaller with a straightforward procedure performed under local anesthesia in an office setting. The key is for you to have your individual concerns evaluated during an in depth consultation with a board certified Plastic surgeon. After hearing your expectations and after examining you this specialist should provide you with options for meeting your goals. Good luck.

In my practice, nipple reduction surgery is a commonly performed procedure for both men and women. It will be important to differentiate exactly what your concerns are; most patients who complain of “puffiness” are really referring to their areola ( and may be dealing with a diagnosis of gynecomastia,  assuming a male patient).  I would suggest  in-person consultation with board-certified plastic surgeons to discuss your concerns. You may find the attached link helpful to you as you learn more about options. Best wishes.