What can be done for “puffy nipples?
“Puffy nipples” is a common complaint and one for which treatment can be difficult. It refers to a “dome-like” appearance of the areola. As you know, your nipples will change and tighten in response to temperature changes or physical/emotional stimulation. This ability to change has to do with tiny muscle cells within the areola (pigmented skin). No surgery, injection, pill, cream, etc can substantially alter this normal bodily physiologic change. What must be evaluated is whether you have any firm breast tissue beneath the areola which is causing projection of the areolas and how much is possible to be removed. Surgery to remove this breast tissue must be done carefully, for if overdone, it can result in a depression (like a saucer) which is difficult to correct.
