nipples still aren't flat, still puffy/big.

[Ali19]

5 weeks post post, and my nipples are stiff puffy, im not sure if i have scar tissue left, and chest still looks bad and still sticks out a lot under shirts.

[Litlriki]

It's difficult to say anything about your results from your description and photos.  At 5 weeks, it's not unusual to have puffiness of the nipples after surgery, and your photos are from strange angles with variable lighting and position, making them less helpful.  Also, you didn't give any information about the procedure, whether it involved liposuction or just excision and so on.  It's early to comment about puffiness, in any case.

Rick Silverman