I'm a 16 year old female and I've always had

Patient : I'm a 16 year old female and I've always had very small, but 'normal' breasts until over the past few months my nipple/areola area has become permanently swollen and puffy and it almost feels as though something hard or lumpy like a gland is behind it. I don't know if this is part of puberty ( I've been the same since 13 until this developed) or if its something else that may be permanent as it is something I am extremely self conscious about as they stick out and are big and are not proportional to the rest of my breast.
Symptoms:  Puffy, tender
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