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 the question and pictures. Given that the “puffy” areola has persisted for 4 years, despite your successful weight loss, it is probable that you are dealing with gynecomastia. Best to verify this during in person consultation with board-certified plastic surgeons. It certainly won't hurt to wait on having surgical treatment;  unfortunately,  there is no specific diet or workout regimen that will necessarily improve the situation. Often, surgical treatment involves partial excision of the excess breast tissue;  sometimes,  peripheral liposuctioning is helpful as well. You may find the attached link helpful to you as you learn more about surgical options. Best wishes.

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.