What is better?

[Zuffu92]

What is better to do for a puffy nipple surgery, lipo + gland or only gland? 

[Dr. Elliot Jacobs]

In my experience, gland excision plus skin undermining (with a lipo cannula, with or without suction) is needed to help the skin to re-distribute.  But that's just my humble opinion.

Good luck!

Dr Jacobs