just pinch them bitches every once in a while lol, i know when mine use to be puffy, i would be pinching and rubbing them until they got hard, cause when the nipples were hard you couldn't see the puffiness! lol,
anyhow good luck to ya brutha! I have seen some great gyno surgery results, and i have seen some horrific shit where the nipples were permanently indented for ever. so best of luck to ya