I'm 18 and I've come to pretty much accept myslef.  I am stilled somewhat embarrassed but not much as I used to be.  I do not think I would have surgery.  Maybe, but probably not.  Because I know it won't cure everything.  Also I am overweight and it would most likely to come back.  But it is good to see not everyone just wants surgery. Also I don't just have puffy nipples these are full fledged breasts.  like a C or a D I guess.  But also they are quite saggy from severe fluctuations in weight.  I was 260 at 16 then climbed up to 280 then I went on weight loss pills and got to 220, I was maybe 225 when I turned 17 then I gradually got to 245 then 260 and now back at 280.  I do wear t shirts and polo shirts, usually a XXL.  with an XL white cotton undershirt.  I use to only where white cotton dress shirts with a heavy cotton sweater over.  But not anymore unless it is cold or for a nice event.  I will even where just a dress shirt without a suit coat or sweater.  I have not gone shirtless in a longtime.   But this is a good board and I hope more people will post.