AI (aromasin/AIFM/letrozole)
yohimburn ES (if there is fatty tissue)
Dopaminergic (selegiline/bromocriptine/cabergoline)

How much of each?

i too have the puffy nip thing goin on from a previous cycle and its annoying as hell.. so runnin aifm and a topical fat burner will actually help if theres a fatty tissue presense? there is a slight discoloration in a circle around my nipple with like a 1'' radius.. is that fatty tissue? my chest has no fat on it just the raised nipple

right ive had puffy nips right from puberty gear didn,t puff them up more if anything just put more fat under them <had 2 docters opinions both said there is no breast tissue growth at all, is there an ai which can correct this or is this just genetics and do i just need surgery to get rid of it

yes

hard to say, without pic (sounds like a mixture of fatty tissue and puffyness)

nipple puffyness can be reduced through using the above listed (each with varying success as the causes of "raised/distended/puffy" nips is multiple)

each of the above addresses individual aspects