Puffy Nips vs. Big Breasts

[DaVinci_1618]

I have a case of puffy nips and slightly enlarged ( very little ) breasts. Why do some of the other guys have big breasts and flat nips? Or vise-versa? I guess I'm seeking solace from someone, anyone. I'm 15.5 and I'm worried my case won't go away. I'm not fat either. I've been to the Doc and he said time is the only cure besides surgery. I've just got puffy nips and have had them since about 6th grade. The tenderness started in 5th grade (early bloomer).  It was real bad then, really puffy. Over the past year they've gone down slightly, but I'm still worried I'll battle this in my adult life.

[Worrier]

Basically Gynecomastia consists of fat and glandular tissue(breast tissue). You can have a mix or one or the other. The blokes you are talking about with the unpuffed nipples but big breasts are probably fat or work out and have big pecs.
Most of the time blokes with the puffy nipples have some gland behind it which at your age is apparently quite common.Although larger nipples can be caused by fat as well but you say you are not overweight so that isn't the issue here.
Obviously it is a worry but you have not finished puberty yet and you really need to give it more time.Some guys don't finish puberty until they are eighteen.From what I know most cases of this go away or significantly reduce if the gyne is from puberty.
All I can say is keep your weight down as I know from expereience putting fat on the chest will make it worse and if you have not already ask your doctor if he thinks a hormone profile is a  good idea.Good luck.

[Spleen]

You're still really young and 90% of cases resolve by the end of puberty.  If it doesn't go away on its own, make sure you're hormones are A-OK and if that's all good surgery could be an option.  My biggest advice to you is not to let the chest be an excuse to avoid certain activities or situations until you're at a point where it's gone away on its own, or you can make it go away.