My nipples point down I'm 18

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Nipple pointing downward. What can be done about this?

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Is this gynecomastia: My nipples are puffy and point outwards. I am 5'7 and weigh 155 lbs. (Photos)

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18 year old male. Puffy nipples since middle school. Is this gynecomastia that won't fix with time? (Photo)

nipple position (frontal). SU: vertical distance from the sternal notch