If i just had the puffy nipples problem, it would be great. As you listed your figures and said your athletic, chances are the rest of your bodys fine, if you dont want to go through surgery (financial reasons, personal reasons whatever) then theres not all that much you can do. Theres some pills you can get tested for at an endocrinologist, and you can try andractim. About the tan try using a tanning bed, you said you work out, my gym supplies them for unlimited use at 20$ a mth which ive taken advantage off. But anyway to answer your question yea a fair amount of guys have the puffy nipple thing, and your not going to notice it because theyre trying to hide it just like you, like you said the only person to comment on it was someone who had seen you intimately, not many guys at school probably know the status of your chest. You can see if your surgery is covered for you, mine is and im taking advantage of that as soon as possible, waiting on funding approval from OHIP then booking surgery date ASAP, but either way surgery is really the only course for the problem in my opinon. Its the only path that offers a full solution. Hope ive been able to help a bit.