This is a very disturbing photo from Dlisted.com. As you can see, this poor chap has enlarged nipples, or Man Nips. How would I treat him?
First off, I would ask him to shave off that Jack Shepard off-the-wagon beard. Then, as far as the nipples, we have two options. Some plastic surgeons would just lop them off at the mid-point, and allow the tip of the nipple to slowly heal in (ouch!). Another option would be to cut out a donut of skin from around the base of the nipple, causing the nipple to resemble a mushroom. Then I would stitch the end of the nipple (head of the mushroom) down to the base of the nipple to shorten it.
However he decides to have it done, this guy needs some professional help!