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.