Puffy and nipple inverted --how to get rid of this?

Surgery. There are procedures available to correct inverted nipples. The areolas can also be reduced.
Many reasons. There may be many reasons for an inverted nipple but these are broadly categorized into congenital or acquired. Any newly acquired retraction particularly idmpf associated with nipple drainage or bleeding should be urgently evaluated for possible neoplasia. Treatment may compromise the ability to nurse and lactation may help mild cases to resolve so it is best to defer treatment until after childr.