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

Doctor Answers (28)

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 42 reviews

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 50 reviews

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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 24 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.

Andrew Goldberg, MD
Fairfax Plastic Surgeon
4.5 out of 5 stars 4 reviews

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!

David F. Pratt, MD
Kirkland Plastic Surgeon
5.0 out of 5 stars 25 reviews

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. 

Salvatore Pacella, MD, MBA, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 7 reviews

Nipple reduction - puffy nipples?

Nipple (areola) reduction is possible.  The surgery involves placing a scar all the way around the areola which will fade (not completely) over time.  A plastic surgeon is a specialist to see.

Martin Jugenburg, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 191 reviews

Male Nipple Reduction

Please see an experienced board certified plastic surgeon regarding your concern. A physical examination will first check the amount of firm breast tissue underneath the areola and determine how much of this tissue can be safely removed. Moderately pronounced nipple/areola puffiness is usually caused by this breast tissue and can be removed to create a flatter chest.

The surgery itself is short (only one or two hours) and often requires less than a week for recovery. Large areolae often become smaller after glandular and/or adipose tissue has been removed during the procedure as well. This side effect is the result of the skin covering the chest muscles tightening through the treatment process.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 74 reviews

Gynecomastia - It's more common than people realize

Having some breast tissue growth is very common during puberty (see article below) and is almost always benign and resolves spontaneously once the hormonal milieu of puberty settles down. However, in a significant number of men this tissue never resolves on its own and in some cases it continues to enlarge often leading to embarrassment and damaging ones self esteem. Patient's often tell me they outright avoid social situations where they might remove their shirt (pool or beach) and wear loose fitting clothing. Although uncommon it is important to have a medical evaluation to rule out a medical cause for the breast enlargement such as cancer, hormone releasing tumors, medications as well as marijuana use can all result in enlargement of male breasts. I have had one patient with a pituitary tumor and one patient with testicular cancer both present with gynecomastia.) Once you test normal for hormonal screening and physical exam show no abnormal or suspicious masses in the breast or testis, I would seek out consultation with a Board Certified Plastic Surgeon who can go over options for surgical treatment of the breast tissue by directly excising the tissue often including liposuction and other treatment to reduce the size of the areola. 

Joseph B. Eby, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 4 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.