I have puffy nipples and it shows through my shirt. I have a nice body but I don't like my nipples

"Puffy Nipple Areola Complex" is among the most common forms of gynecomastia. This gland and/or adipose tissue accumulation can be located under the areola or can be slightly extended outside the areola, causing the areola to appear dome shaped.This form of #Gynecomastia can be found in all age groups but is more common in young adults.Men who suffer from large #areolas may notice that after breast surgery, the skin of the chest muscles will tighten, causing the areolas to tighten and diminish in size. This is a result of the removal of glandular and/or adipose tissue.As each case is different, it is vital that you consult with a board certified plastic surgeon who is experienced in male breast surgery. The surgeon should determine if you are a suitable candidate for male breast reduction by liposuction or glandular excision. It is also crucial to have a plastic surgeon who is well-versed in the gynecomastia condition can determine if there is firm breast tissue beneath the areola that is causing the nipples to project (which is often the case), and if so, how much of this glandular tissue can be removed to create a flat appearance.#PuffyNipple surgery generally takes only an hour or two, and the recovery time is short; sometimes less than a week. There is minimal scarring and the success rate is excellent. Therefore, patients who suffer from "Puffy Nipples", and who view it as an unaesthetic and unpleasant condition, may desire surgical intervention to correct the "puffy nipple" condition. 

It sounds like you are certainly describing gynecomastia, which quite frequently, has an onset in young men of 13 or 14 years old. In some cases, it disappears by about 19 years old. If yours has been stable over that period, you can consider having it surgically fixed by a board-certified plastic surgeon. There are multiple causes of gynecomastia, but most commonly, is that your breast tissue is just more sensitive to normal circulating hormones.

Hello,Thank you for your question. It sounds like you may have a  mild case of Gynecomastia however an in-person exam with a board certified Plastic Surgeon will be the best way to find out.  An excess growth of breast tissue and herniated/puffy areolas cannot be reduced with weight/fat loss. Gynecomastia affects all shapes and sizes of men- slim ones as well. The surgical techniques used to address this can be quite simple and relatively minor. I recommend that you book your in-person consultation with a Plastic Surgeon who specialises in this procedure and find out about your options.All the best