Making Nipples Smaller For Men

When I went through puberty (23 now), I seemed to have suffered some gyno (I believe thats the correct term). My nipples are puffier and larger than most men. I work out daily and have a good build, but the larger nipples lowers my self esteem. Is there a surgery to fix this? If so what is the average cost? What type of doctor would I go see? And what is the average recovery time? Thanks, Dan

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Puffy Nipples Gynecomastia

Even with minimal breast tissue enlargement, an enlarged areolar diameter tends to produce a feminized breast/chest appearance. For patients with an enlarged areolar diameter, an areolar reduction can be performed in addition to direct excision of breast tissue and liposuction. This requires an incision, and thus a scar, that encompasses the entire circumference of the areola. However, the scar is usually obscured fairly well by the color difference between areolar skin and the adjacent chest skin, and the reduced areolar diameter can be critical to producing a more masculine appearance of the anterior chest.

Raleigh-Durham Plastic Surgeon
4.5 out of 5 stars 48 reviews

Puffy Nipples

Hi Dan,

Thank you for your post. Based on your description it sounds like you have physiologic gynecomastia. It is not uncommon for boys going through puberty to get some form of breast enlargement. However, in a large majority of them it resolves in 2 years. Obviously you are well past that time frame and yours likely requires surgery to correct. I recommend seeing a board-certified plastic surgeon who specializes in gynecomastia surgery. The average time to go back to work is 3-7 days, and in my practice I allow patients to resume exercise between 4-6 weeks based on what surgery was performed.


Dr. Dadvand

Babak Dadvand, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 14 reviews

Gynecomastia surgeon

Areolar protuberance can be corrected with some liposuction +/- a periareolar excision of excess areolar tissue. 

Dr. Karamanoukian 

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 58 reviews

Nipple reduction

This is fixable with nipple reduction surgery. The tissue underneath the nipple can be removed to flatten the area, or the actual areola can be modified.

Large Male Nipples made smaller

Photos and an exam are required for the best advice. Prominence of the male nipple and areola can be reduced by removing some of the  breast tissue below the areola in conjunction with gynecomastia reduction.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 61 reviews

Making Nipples Smaller For Men

Photos would be very helpful in evaluating your particular concern.  In general, the prominence of the male nipple can be made less prominent by excising some of the sub-areola breast tissue in conjunction with gynecomastia reduction.  Good luck and be safe.

John T. Nguyen, MD, FACS, FICS
Double Board Certified Plastic Surgeon

John Nguyen, MD, FACS
Houston Plastic Surgeon
5.0 out of 5 stars 27 reviews

Male nipple puffiness and enlargement

Many men will have issues concerning large breasts or puffy nipples. This is referred to as gynecomastia and has many causes. Most commonly normal hormone changes which occur during adolescence but other causes may include liver or hormonal abnormalities, steroid medication, marijuana use, other prescription medicines. Your individual circumstance should be evaluated by a board certified plastic surgeon with experience in treating gynecomastia. Several options for treatment are available and you can discuss them with your surgeon. Fees will vary depending upon the required procedure and whether you need to be treated in the office or surgicenter. Most patients are happy with their results and gain a new degree of confidence in their appearance.

Scarless Reduction of Puffy Nipples

The most common cause of enlarged or “puffy” nipples on a male chest is gynecomastia, or enlarged male breasts.Generally, treatment of mild to moderate sized gynecomastia with a male breast reduction i.e. by liposuction with or without gland excision, will result in a fairly normal sized nipple areolar complex (nipple and surrounding pigmented skin), which in most men without gynecomastia is slightly larger than a penny, with a diameter somewhere between 3/4 to 1 1/4 inches.
In severe cases of gynecomastia or in significantly overweight patients, the areolar skin may have been stretched so much that the elasticity is shot, similar to the waistband of old undershorts.This loss of elasticity in the areolar skin prevents the skin from shrinking to a normal size, even when the fullness of the breast is successfully reduced.In this case, a periareolar surgical reduction of the areolar skin will be required to make the “nipples” smaller.
The average cost for male breast reduction according to a recent survey by the American Society of Plastic Surgeons was approx. $3500.Additional anesthesia and facility fees are often required.
A physician certified by the American Board of Plastic Surgery would be the best choice.
The exact length of recovery time would depend on the specific procedure required.  In most cases, 3-5 days should be enough to return to work.  A compression vest is usualy worn for 1 month.  Final results can take up to 6 months.

I hope that answers all of your questions.  Good luck!

Male breast reduction

Thank you for your question.  It is possible that you have some breast tissue that may need to be excised.  Gynecomastia is caused by really two different problems:  actual breast tissue that needs surgical excision and fat deposition which is best treated by liposuction.  Your deformity may be a combination of the two.  It is also possible to make nipples smaller by using a suture to cinch down the area. There is definitely a strategy to fix this, but it will require a consultation with a board certified plastic surgeon. 

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.