well, looking at your condition.. it's sort of difficult so say. you do have quite a bit of fat mass, all over..
usually, in cases of obesity. the human body produces greater ammounts of estrogen. hence, you could have glandular tissue growth.
from the look of your nipples, i say that you probably do have gland in there; however, try losing weight first. get to a stable bodyweight. after then, you can re-analyze the whole thing.
personally, my STRONG advise is, don't even consider surgery until you've lost weight.. atleast till your bordering 'stable' bodyweight. (16-20% bodyfat)
