My nipples have lumps underneath and they seem erect all the time. Do I have gynecomastia? (Photo)

Question

I have always has small lumps since puberty but when I was 18 I took propecia for hair loss and notice my nipples swelling and getting bigger. When I stopped they have stayed there for over two years now. Is it gynocomastia and if so should I leave it or get them removed? It is not as severe as a lot but it does cause pain and it has become noticeable to me now so would I be able to get it sorted without much visible scarring?

Jed H. Horowitz, MD, FACS · Answer

"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.As each case is
different, it is vital that a board certified plastic surgeon with experience
in male breast surgery is consulted. The surgeon should determine if the
patient is a suitable candidate for male breast reduction by liposuction or
glandular excision. It is 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.

Tom J. Pousti, MD · Answer

Thank you for your question and photos.It will be in your best interests  to be examined by a well experienced board-certified plastic surgeon  for accurate diagnosis and treatment recommendations. I have found that gynecomastia is often best treated with  partial excision of the prominent glandular tissue  as well as liposuction surgery of the peripheral chest area.  If the prominence of the chest wall is caused by adipose tissue, then liposculpture surgery alone may suffice.

I would strongly suggest that you make sure you are working with a well experienced board-certified plastic surgeon. You will find that this recommendation will be more important than any specific “miracle technology” that you will undoubtedly hear about.

I hope this helps.

Babak Dadvand, MD · Answer

Hi charliecavzy95,Thanks for the post and photos. Based on the photos you have gynecomastia. This is likely due to excess breast tissue and not fatty tissue because you are otherwise very lean. The treatment will require excision as liposuction will not remove breast tissue. I recommend you see a plastic surgeon experienced in the procedure. Do not hesitate to travel to have the procedure performed by an expert.Sincerely,Dr. Dadvand

Ron Hazani, MD, FACS · Answer

Based on the photos, you seem to have mild gynecomastia. Seek a plastic surgeon who performs many of these procedures, has great reviews and photos, and is an expert in this field.

Robert Caridi, MD · Answer

Gynecomastia is the appearance of a female like breast in a male. You have classic puffy nipples and you most certainly have some glandular tissue under the areolas. The ONLY treatment is the removal of this tissue. Diet, exercise and pills won't do anything. The scars from this procedure are tiny and insignificant.

This is a condition that is harmless. You would only seek treatment if it is really bothering you and getting into your head. Treatment is straight forward in experienced hands.

My nipples have lumps underneath and they seem erect all the time. Do I have gynecomastia? (Photo)

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Answer: My nipples have lumps underneath and they seem erect all the time. Do I have gynecomastia? (Photo)

Answer: My nipples have lumps underneath and they seem erect all the time. Do I have gynecomastia? (Photo)

Answer: Do I have gynecomastia

Answer: Do I have gynecomastia

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My nipples have lumps underneath and they seem erect all the time. Do I have gynecomastia? (Photo)

Answers (7)

Answer: My nipples have lumps underneath and they seem erect all the time. Do I have gynecomastia? (Photo)

Answer: My nipples have lumps underneath and they seem erect all the time. Do I have gynecomastia? (Photo)

Answer: Do I have gynecomastia

Answer: Do I have gynecomastia

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Everything you need to know about Gynecomastia Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.