Dear Welcome to HCM We understand your concerns I went through your details. There is no need to worry about your puffy nipple area. Body proportions are maintained by male and female hormones. Both are available within every body. The puffy nipples could be due to a small excess of female hormone within you. Moderate gymnasium work outs and exercise should harden the muscles around your nipples and help you get rid of the problem. Surgery is never an option. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care.