Puffy nipples usually is a result of gynecomastia. Often times a patient will complain that the nipple only looks puffy when warm, when they are cold, the constriction of the areola may flatten it out. It's impossible to know for sure without a physical exam, but many of my puffy nipple patients seem more likely to need direct excision of a glandular bud or lump of breast tissue. Some need liposuction as well for best contour. While impossible to say for sure, I would guess that your skin will shrink up nicely and you will get a nice result. Be sure you see a board certified plastic surgeon with a special interest in gynecomastia. Every case can have its own peculiarities and it's best to see someone with a wide experience. Best of luck,
I'm 20 yrs old male who have puffy nipples but not sure if it is gynecomastia. What treatment would you recommend?
Thank you for the question and pictures. Given that the “puffy” areola has persisted for 4 years, despite your successful weight loss, it is probable that you are dealing with gynecomastia. Best to verify this during in person consultation with board-certified plastic surgeons. It certainly won't hurt to wait on having surgical treatment; unfortunately, there is no specific diet or workout regimen that will necessarily improve the situation. Often, surgical treatment involves partial excision of the excess breast tissue; sometimes, peripheral liposuctioning is helpful as well. You may find the attached link helpful to you as you learn more about surgical options. Best wishes.
Thanks for the post and photos. Puff nipples is a form go gynecomastia where there is excess breast tissue under the areola. It typically makes the areola wider and lighter in color. Exercise and diet will not correct this. It will need surgery to correct. I recommend that you be seen by a plastic surgeon who specializes in gynecomastia.
Surgery for Puffy Nipple
Puffy nipples can be reduced by removing extra breast tissue directly below the areola and nipple. It is oftne done under local anesthesia as an office procedure. Addtional breast tissue fullness outside of the nipple area is usally removed with liposuction.
The term ‘puffy nipples’ refers
to pure glandular gynecomastia, which
describes cases of male breast enlargement that are due to an increase in the
volume of fibrous breast tissue behind the nipple-areola complex, without any
proliferation of excess fat in the surrounding area. This form of gynecomastia
occurs almost exclusively in adolescent and young adult males. It may occur on
just one side or on both, and if present on both sides it is often asymmetrical
All boys and men have a small
mass of fibrous breast tissue immediately below the areolas. This small mass of
breast tissue does not become apparent externally unless it grows in size to a
point where the nipple-areola complexes begin to bulge outward, hence the term
Treatment consists of excision of
the excess breast tissue using one or more of a number of techniques: direct
excision via an incision along the inferior border of the areola,
‘pull-through’ excision through two or more mini-incisions at the areolar
border, and arthroscopy shaver excision via a remote mini-incision (ideally
concealed in hair-bearing skin in the underarm area). As there is no fat excess
in patients with pure glandular gynecomastia, no liposuction is required.
Care must be taken on the part of
the surgeon to perform a precise excision of the excess breast tissue, and to
preserve a thin cuff of breast tissue on the posterior surface of the
areolas(s). Over-resection will result in areolar retraction and concavity as
well as contour irregularity in the area immediately surrounding the
nipple-areola complexes. Under-resection will result in the need for a second
surgery to remove the remaining breast tissue. So it truly requires an
experienced surgeon to accomplish that ‘just right’ excision that will produce
a natural-appearing and aesthetically ideal result in these patients.
Make sure that you seek treatment
from a board-certified plastic surgeon who can show you a number of ‘before and
after’ photos – with results that appeal to you - for patients whom they have
treated for pure glandular gynecomastia.
unlikely weight loss and working out will reduce your "puffy
nipples". From the photographs it looks like you have gynecomastia (male
breasts). Gynecomastia is often an inherited condition that can not be improved
without surgery. Fortunately, today there are improved techniques
that reduce the size if your breasts and give you an improved appearance
to your chest. Small incision surgery with a liposuction approach can
safely and effectively help without the need for general anesthesia. Seek
examination from a board certified plastic surgeon familiar with
these improved approaches to discuss the best options for you.
Treatment for Gynecomastia
Hello and thank you for your question.
It appears as
though you have a mild case of Gynecomastia. This can be easily treated with
liposuction with or without some excision of glandular tissue.I recommend that you see a board
certified plastic surgeon in consultation to get more specific answers to your
questions which can best be addressed after a thorough history and examination
Best of Luck to you!
Gynecomastia--Male Gland Enlargement is Likely: Physician Exam Will Confirm and Offer Alternatives
The regular workouts and clean diet will enhance your general health, and may give small changes in the chest appearance, but the puffiness (conical projection) of the areola and nipples is probably not going away.
Your plastic surgeon could feel the texture of the skin, normal body fat and any underlying fibrous or glandular tissue. Based on that he or she could recommend whether surgery would be beneficial for you. Dense material usually needs excision through a small incision hidden around the lower areola, while softer fatty material may be removed by liposuction through even smaller incisions. Improved definition of the lower pectoral muscle border is likely. Your chosen surgeon may have website photos showing possible results. Best wishes.
The physical examination is the main goal to diagnosis Gynecomastia. This is a deformity that working out or diet won't resolve. Sometimes we can find a solution to this problem through a Liposuction. Othertimes wil need to resect the Gland tissue through an small or bigger incision. You must schedule a consultation with an ASAPS member plastic surgeon in your area.
Treatment of Puffy Nipples and Gynecomastia
Thank you for your question and photos. If the puffiness you have noticed beneath yournipples has persisted over the later years of puberty and has not gone away with your weight loss, there is a good chance the enlargement of the male breast is there to stay. Male breast enlargement is called gynecomastia. You will be able to control body fat with your diet and exercise, but not breast tissue. The growth of glandular breast tissue will not be reduced with foods thought to increase testosterone. The surgical removal of this tissue requires only a small incision around your areaola, (the pigmented circle). The parts that make the puffiness can be removed with a combination of excision and liposuction. I hope this was helpful.