I'm 20 yrs old male who have puffy nipples but not sure if it is gynecomastia. What treatment would you recommend? (photos)
Doctor Answers (8)
I'm 20 yrs old male who have puffy nipples but not sure if it is gynecomastia. What treatment would you recommend?
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 ‘puffy nipples’.
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.
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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!
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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.
Treatment of Puffy Nipples and Gynecomastia
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.