Left nipple bigger than the right nipple, painful to wear a shirt. Suggestions? (photo)

possible gynecomastia in left side of chest nipple bigger than the right nipple the left saggs more than the right

Doctor Answers 5


You appear to have gynecomastia and would likely benefit from excision of the likely breast tissue present.  Additionally a reduction of the areola may be needed to make your areolas match in size. An in person examination and consultation would be needed to evaluate your chest and give you the best treatment options. 

Los Angeles Plastic Surgeon
4.9 out of 5 stars 60 reviews

Left nipple bigger than the right nipple, painful to wear a shirt. Suggestions?

Nipple and areola reduction along with gynecomastectomy may be appropriate, but an exam will be necessary.

Find a board certified plastic surgeon who performs hundreds of body contouring procedures and male breast reductions each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.

Kenneth Hughes, MD

Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews


Based on your photos, you are a candidate for gynecomastia surgery.  The tissue is excised , and in some cases slim liposuction is used.  An exam is needed for a recommendation.  Consult with a board certified plastic surgeon who is experienced in this surgery, to discuss your options and expectations.

Robert E. Zaworski, MD
Atlanta Plastic Surgeon
4.8 out of 5 stars 62 reviews

Left nipple bigger than the right nipple, painful to wear a shirt. Suggestions?

Best to be examined by board-certified plastic surgeons for accurate diagnosis and treatment recommendations. If your diagnosis is gynecomastia, then partial excision of the breast gland and possible liposuction surgery may be beneficial. Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,503 reviews

Different Size Nipples

#Unilateral gynecomastia occurs when only one breast is larger due to gynecomastia, while the other breast is typically normal in both size and shape. #Bilateral asymmetry occurs when gynecomastia is present in both breasts, although each to a different degree. The amount of glandular tissue can affect the size, shape, and location on the chest wall of the enlarged area, the size of the areolas, and protrusion and diameter of the nipples.

Unequal or unilateral gynecomastia is not an uncommon condition. It is more significant when there are very noticeable differences between the two breasts. Usually, the degree of difference between the two breasts is not severe. Through a study of his patients, however, more than 80% of male breasts are not symmetrical, but the severity varies greatly from patient to patient. Patients should take this into consideration while examining their chests prior to surgery.
"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.In addition to correcting the difference between breast sizes, the #areola often shrinks when #gynecomastia excision is performed. In more pronounced cases, the areola may even be larger. When the glandular tissue is removed, the areola #symmetry may improve.

As each case is different, it is vital that you consult with a board certified plastic surgeon who is experienced in male breast surgery. The surgeon should determine if you are a suitable candidate for male breast reduction by liposuction or glandular excision. It is also crucial to have a plastic surgeon who is well-versed in the gynecomastia condition can determine if there is firm breast tissue beneath the areola that is causing the nipples to project (which is often the case), and if so, how much of this glandular tissue can be removed to create a flat appearance.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 110 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.