I Have a Completely Flat Chest but I Have Puffy Nipples. Is This Gynecomastia? 6'1'190lb

I am 6'1' and 190lbs. I am extremely athletic and am a pitcher. I have always had these puffy nipples but no other symptoms. My chest is completely flat otherwise. Is this hormonal? Is it gynecomastia? Should I see a plastic surgeon or a hormonal doctor?

Doctor Answers (5)

Puffy nipples in a male

+1

A photograph of your condition would be beneficial.  Many times puffy nipples in males is associated with gynecomastia. When the gynecomastia is corrected the nipples generally shrink down as well.  You should be evaluated by a plastic surgeon for this condition and to review treatment options.


Atlanta Plastic Surgeon
5.0 out of 5 stars 9 reviews

Puffy nipples on a flat chest can be gynecomastia

+1

Gynecomastia can be caused by excess male breast tissue, excess fat, or a combination of both.  Excess breast tissue under the nipple, without excess fat, can cause a situation like yours.  Have an examination by a plastic surgeon who can diagnose your situation.

Daryl K. Hoffman, MD
Los Gatos Plastic Surgeon
4.5 out of 5 stars 8 reviews

Gynecomastia

+1

From your brief description it seems that you likely have gynecomastia.You have not provided many details ,I would recommend you see someone with experience in dealing with gynecomastia.

Jay M. Pensler, MD
Chicago Plastic Surgeon
4.5 out of 5 stars 10 reviews

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Gynecomastia?

+1

Thank you for the question.

Your description is consistent with  gynecomastia;  however, direct examination by your primary care physician or plastic surgeon will be necessary for definitive diagnosis.

Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 701 reviews

Gynecomastia

+1

It is difficult to diagnose without an examination. Gynecomastia is usually (75% of the time) not due to any other casue other than bad luck but sometimes due to testicular or other tumors, medications such as cimetidine, marijuana use, or other odd disorders like Klinefelters. A quick exam can rule all of the these things out and if there is any question blood tests and/or CT scan can usually rule them out. Assuming your problem is just benign gynecomastia, nipple puffiness may be caused by fat under the nipple which by definition is gynecomastia. The treatment is direct excision or liposuction.

Jacob Freiman, MD, FACS
Miami Beach Plastic Surgeon
5.0 out of 5 stars 79 reviews

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.