The third solution is simple. Do nothing. Not sure how old you are or if you are still in school and have the significant peer pressure and harassment going on.
Mine poke out all the time. Wear thin moisture wicking shirts at work. Get many looks, mostly from women. Eventually everyone with gynecomastia has to come to terms with the issue. Surgery is definitely an option. Living with it is another and you do not risk any negative outcomes if the surgery does not work.
Wish you the best.
In the older group, no one really cares if you have pokies or bouncing boobs. The younger generation has a lot to look forward to as they get older.
I am 23. There hasn't been any type of harassment or pressure at all, no, but that is probably because I always try to hide it. ''Harassment' as a joke by friends, of course. No one would seriously make fun of it at this age even if they did show. But as I said, I always make sure to hide it. In summer for example I wear an extra undershirt to keep nipples in tact.
I know 'not caring at all' is an option too, but I can't do it honestly. I guess it depends on the person, but I wouldn't like my nipples to visible poke through shirts in public. Will getting looks from randoms affect my life at all? No, not at all. It's all in the head, like a million other things, but I can't just come to terms with it.
In addition to that, I am much into bodybuilding. I have been working out for many years, and I have built a nice chest, minus the puffy nipples. And I don't like when I look down and I see puffy areolas. This is more about me than others.
But due to the fact my gyno is very, very mild, it's only the nipples really. Which means when I am cold, chest looks perfectly fine.
And to my surprise, liquid bandaids seem to be doing gods work. Not visible at all to others, and they keep nipples in tact for up to 2 days. Waterproof too of course. I am just wondering if there are any side effects to the skin long term. If there are, I simply stop doing it. If they are not, that's amazing news.