Puffy Nipples: to Excise the Gland or Not Excise the Gland? (photo)

In minimal gynecomastia, where the problem is limited solely to prominence or puffiness immediately beneath the nipple, simple direct excision probably is the best option. The tissue in this area is usually dense glandular tissue and is difficult to remove with liposuction alone. Even liposuction that has an added energy source - ultrasound (VASERLIPO) or laser (SMARTLIPO) - may not adequately remove this dense tissue.

Thank you for the question and pictures. The best treatment for localized glandular tissue causing “puffy nipples” is direct excision; whether this operation will be indicated in your case depends on how much the prominence bothers you in comparison to how much an incision below the areola (resulting from surgery) will bother you. If the prominence caused by breast tissue, not adipose tissue, liposuction alone will likely not be effective. Only you will be... more