Puffy nipples: This could be gynecomastia. See a plastic surgeon.
Answered 10/3/2016
5.5k views
Usually, no!: Teenage boys can develop gynecomastia of varying degrees that can spontaneously regress in most cases as hormones "settle down." but many males still have mixed glandular/fatty gynecomastia. Obesity-related gynecomastia can diminish with weight loss, but glandular gynecomastia requires plastic surgical excision by an expert. Severe cases require skin removal as well (do not allow a female pattern).
Answered 10/3/2016
5.5k views
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