I'm 20 yrs old male who have puffy nipples but not sure if it is gynecomastia. What treatment would you recommend? (photos)

Thank you for your question.#Puffy #Nipple Areola Complex is among the most common forms
of #gynecomastia. This gland and/or adipose tissue accumulation can be located
under the #areola or can be slightly extended outside the areola, causing the
areola to appear dome shaped. This form of Gynecomastia can be found in all age
groups but is more common in young adults.  Many patients with puffy nipples desire #surgical intervention which generally takes only an
hour or two, and the recovery time is short; sometimes less than a week. There
is minimal scarring and the success rate is excellent.Consult a #boardcertified #plasticsurgeon in person to get a more clear understanding about the best plan of action for your specific case.

Puffy nipples can be reduced by removing extra breast tissue directly below the areola and nipple. It is oftne done under local anesthesia as an office procedure. Addtional breast tissue fullness outside of the nipple area is usally removed with liposuction.

Puffy nipples are a common sign of gynecomastia, and this can be corrected by removing excess tissue contributing to the puffiness. This would most likely be glandular tissue, or stubborn fat. You might want to see a surgeon to discuss your options.

Hi Vincy112,Thanks for the post and photos. Puff nipples is a form go gynecomastia where there is excess breast tissue under the areola. It typically makes the areola wider and lighter in color.  Exercise and diet will not correct this. It will need surgery to correct. I recommend that you be seen by a plastic surgeon who specializes in gynecomastia. Sincerely,Dr. Dadvand

The term ‘puffy nipples’ refers
to pure glandular gynecomastia, which
describes cases of male breast enlargement that are due to an increase in the
volume of fibrous breast tissue behind the nipple-areola complex, without any
proliferation of excess fat in the surrounding area. This form of gynecomastia
occurs almost exclusively in adolescent and young adult males. It may occur on
just one side or on both, and if present on both sides it is often asymmetrical
in volume. All boys and men have a small
mass of fibrous breast tissue immediately below the areolas. This small mass of
breast tissue does not become apparent externally unless it grows in size to a
point where the nipple-areola complexes begin to bulge outward, hence the term
‘puffy nipples’.Treatment consists of excision of
the excess breast tissue using one or more of a number of techniques: direct
excision via an incision along the inferior border of the areola,
‘pull-through’ excision through two or more mini-incisions at the areolar
border, and arthroscopy shaver excision via a remote mini-incision (ideally
concealed in hair-bearing skin in the underarm area). As there is no fat excess
in patients with pure glandular gynecomastia, no liposuction is required.Care must be taken on the part of
the surgeon to perform a precise excision of the excess breast tissue, and to
preserve a thin cuff of breast tissue on the posterior surface of the
areolas(s). Over-resection will result in areolar retraction and concavity as
well as contour irregularity in the area immediately surrounding the
nipple-areola complexes. Under-resection will result in the need for a second
surgery to remove the remaining breast tissue. So it truly requires an
experienced surgeon to accomplish that ‘just right’ excision that will produce
a natural-appearing and aesthetically ideal result in these patients. Make sure that you seek treatment
from a board-certified plastic surgeon who can show you a number of ‘before and
after’ photos – with results that appeal to you - for patients whom they have
treated for pure glandular gynecomastia.

It's
unlikely weight loss and working out will reduce your "puffy
nipples". From the photographs it looks like you have gynecomastia (male
breasts). Gynecomastia is often an inherited condition that can not be improved
without surgery. Fortunately, today there are improved techniques
that reduce the size if your breasts and give you an improved appearance
to your chest. Small incision surgery with a liposuction approach can
safely and effectively help without the need for general anesthesia. Seek
examination from a board certified plastic surgeon familiar with
these improved approaches to discuss the best options for you.

Hello and thank you for your question.It appears as
though you have a mild case of Gynecomastia. This can be easily treated with
liposuction with or without some excision of glandular tissue.I recommend that you see a board
certified plastic surgeon in consultation to get more specific answers to your
questions which can best be addressed after a thorough history and examination
is performed.
Best of Luck to you!

The regular workouts and clean diet will enhance your general health, and may give small changes in the chest appearance, but the puffiness (conical projection) of the areola and nipples is probably not going away.  Your plastic surgeon could feel the texture of the skin, normal body fat and any underlying fibrous or glandular tissue.  Based on that he or she could recommend whether surgery would be beneficial for you.  Dense material usually needs excision through a small incision hidden around the lower areola, while softer fatty material may be removed by liposuction through even smaller incisions.  Improved definition of the lower pectoral muscle border is likely.  Your chosen surgeon may have website photos showing possible results.  Best wishes. 

The physical examination is the main goal to diagnosis Gynecomastia. This is a deformity that working out or diet won't resolve. Sometimes we can find a solution to this problem through a Liposuction. Othertimes wil need to resect the Gland tissue through an small or bigger incision. You must schedule a consultation with an ASAPS member plastic surgeon in your area. 

Puffy nipples usually is a result of gynecomastia.  Often times a patient will complain that the nipple only looks puffy when warm, when they are cold, the constriction of the areola may flatten it out.  It's impossible to know for sure without a physical exam, but many of my puffy nipple patients seem more likely to need direct excision of a glandular bud or lump of breast tissue.  Some need liposuction as well for best contour.  While impossible to say for sure, I would guess that your skin will shrink up nicely and you will get a nice result.  Be sure you see a board certified plastic surgeon with a special interest in gynecomastia.  Every case can have its own peculiarities and it's best to see someone with a wide experience.  Best of luck,