Couple things, get in the best possible shape you possibly can, I mean single digit body fat, but not skinny, I mean lean and muscular, so go hit the weights. You will feel pretty good just from doing that. Second, if you have a moderate to serious problem, you can buy a compression vest for less than $100. That will hold everything together while you save up for the surgery. If you just have the puffy nipples, try under armour, that will take care of it for the time being. I think these two very simple things will go a long way for most people.