I'm 20 yrs old male who have puffy nipples but not sure if it is gynecomastia. What treatment would you recommend? (photos)

I have them since I was 16, but was obese too. My height is 168 and weight is 69 currently and just started working out. Would really like to know if working out and having a clean diet would get rid of those puffy nipples? My diet would include broccoli everyday and also other foods that would boost up my testosterone.

Doctor Answers (7)


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,

Nashville Plastic Surgeon
4.5 out of 5 stars 16 reviews

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.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 720 reviews

Gynecomastia Solutions

It's 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.

Michelle Copeland, MD, DMD
New York Plastic Surgeon
4.5 out of 5 stars 8 reviews

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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 is performed.
Best of Luck to you!

David Cangello, MD
New York Plastic Surgeon
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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. 

Sutton Graham II, MD
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Gynecomastia Diagnosis

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. 

Luis Lopez Tallaj, MD
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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.

Mary Lee Peters, MD
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.