Yeah man, that's definitely gyno. I dealt with the same thing for a year after using natural OTC testosterone boosters for too long and having my test levels crash afterwards from shutting down my natural production. Basically after my cycle my test levels dropped down to around 350 pg/mL, which is the test level of a 70 year old. A couple months later and after some nolvadex treatment (tried it for the puffy nipples because studies have shown that it can at least reduce gyno) my levels shot back up to ~1200 pg/mL which is much more appropriate for someone my age (22) and someone who works out 7 days a week. You can try nolvadex if you talk to your doctor and he feels it might help, however don't get your hopes up. From studies I've read you need to be on it for 4-6 months, I was only on it for 1-2 months and I didn't do anything other than help my test levels come back up. If your unhappy with the appearance of it, I'd find a skilled surgeon who knows what he's doing and have it excised out. I had the procedure done about 13 days ago and everything so far is great. 7 days post op everything was completely flat and awesome, but a couple days later my right nipple got a bit puffy from what my doctor says is post-op swelling. I had mine done under local anesthesia for about $2,500 because my case was extremely mild and no lipo was needed as I'm already pretty lean and there just wasn't much fat on my chest to work with. The worse part about the procedure was the surgeon sticking a bunch of needles with lidocaine (or whatever they use) into each side of my chest. The actual procedure just felt like a lot of tugging around the nipple region and it wasn't painful at all. From what it seems like, puffy nipples are a lot easier to deal with and the results are much better than if you have full-blown moobs. At 13 days post op it doesn't even look like I had surgery other than the minor swelling in my right nipple and the incision lines. You'll end up with scars, but if your surgeon is skilled they shouldn't be an issue 1-2 years down the road, and even if they are more noticeable it beats the hell out of having puffy nipples. The great thing about cutting into your nipples is the color and contour of it is perfect to hide scars, whereas if you had some other operation done on regular skin, the scars would be much more noticeable. All in all, the procedure was definitely worth it, and if everything is eventually completely flat after the swelling goes down, I would have even paid double of triple what I did.