What causes puffy nipples?
wait and watch at the moment
Thanks for your query an an elucidate history.
To recapitulate::: Born premature- now you are 19- puffy nipples since you remember- but look normal when they are cold or on water- lower self esteem, negative comments and you hate your body- breasts seem to be fine-
You have a brother or a sister as twin?
I would advise you to do a self examination by pinching to see is there is breast nodule. If gynecomastia is there , only answer is surgery and the Surgeon will be happy to correct this deformity you are talking about.
It is better to go for an ultrasonography and color doppler examination to see what exactly is inside. We have to rule out vascular pathology. If present you can have sclerotherapy.
But I think frankly , you do not need treatment at the moment. It is just an accentuation of the normal appearance and feeling low-esteem is common at your age. Come out of this. You only can think about it.
Get the investigations done and be back to me.
Till then just relax. Eat and exercise well , get engaged into constructive activities.
NO active treatment at the moment is needed.
If you are too conscious, a small surgery to reshape the area can be done.
What would be the average surgery cost or average cost for treatment if it were...
You will have to confirm with local facilities
I am sorry friend, this is outside the ambit of this.
You will have to confirm with the Hospitals or Surgeons in your area.