Hello I am a rather lean 32 year old male with puffy nipples. I would say I have Type 1 Gynocomastia. I was wondering if its possible to have my nipples fixed without the full blown gyno surgery. The shape of my pectoral/breast area isn't really an issue, as its mainly in my nipples. They are convex and puffy, and I'd love to get them flat. From what I understand, I still need a full blown gyno surgery, but I was wondering if there are other opinions out there.
Male Puffy Nipples -- Fix Without Full Gyno Surgery?
Doctor Answers 12
Excision is Best For Pure Glandular Hypertrophy (Type 1 Gynecomastia)
In patients such as yourself, I prefer to perform a “stealth excision”, in which I make a several millimeter “stab” incision within the areolar skin, and then remove the stubborn breast tissue with a clamp and scissors, resulting in a "deflated", normal appearing areola. A dissolvable stitch or two is used to close the tiny incision, leaving an imperceptible scar.
The key to this technique is to know when to stop removing breast tissue, in order to avoid an unnaturally "indented" nipple and areola. Because I remove small amounts at a time, I am able to accurately remove just enough "gland" to completely treat the "puffy nipple", without causing an unnatural depression.
What you refer to as "full blown gyno surgery" usually implies performing a traditional "en-block" excision of glandular tissue through a "periareolar" incision, which usually goes at least halfway around the areola, with or without liposuction.
I hope you find this answer helpful. Good luck!
Have a question? Ask a doctor
Treatment of Puffy Nipples
Thanks for the post. True puffy nipples is due to excess glandular tissue located under the areola. This needs surgery to correct. There is no such thing as "full blown gyno surgery". There are different techniques that are utilized to treat each man's specific cause of excess tissue, whether it is fat removal, gland removal, skin removal, or all of the above. It seems that in your case, you would only need a small incision under the areola to remove the gland. I would recommend that you be seen by a plastic surgeon who specializes in gynecomastia surgery.
There are different degrees or variations of gynecomastia that can be improved with a variety of procedures. When the excess tissue is limited to only beneath nipple region; there are surgical techniques that can be employed to only address that region. It is recommended to be evaluated by a plastic surgeon who discuss your options.
You might also like...
Treatment options or puffy nipples
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.
Male Puffy Nipple Correction
Whether you have puffy nipples or puffy areolae, both can be corrected in a small procedure under local anesthesia. Kenneth Hughes, MD Los Angeles, CA
Male nipples can be reduced without gynecomastia surgery.
Actually your problem is fairly common, and easy to correct under local anesthesia. The nipples are made both less tall and less fat with minimal scarring.
Minor Male Chest Issues
Thank you for the question. If the nipple/areola is the problem then directed excision is helpful or an in office local liposuction could be beneficial. The first step would be to have a consult and exam with a BC PS.