You can almost see the gland, the round area that extends about a cm around your areola. I would give you a 3.5 on a scale from 1 to 10, but if you loose weight it looks like you could bring that down to a 2 or 3, but you will still have puffy nipples and what looks like the region around it. Keep up with the weight loss, who knows.. Plus if you can just reduce it to something you feel comfortable with, you will have achived what most people get surgery for.