How to reduce puffy nipples without surgery. Age 20, male. (Photo)

Hi thanks for sharing your question. From the picture you have shared it looks like you have gynaecomastia. The puffy nipples is due to the underlying gland and the only way to correct it is by surgery. You will require both liposuction and gland excision for best results. Meet a board certified plastic surgeon nearby for examination and discussing your options. Good luck.

Surgery is the only real option to reduce long-standing gynecomastia. Discuss your options with a board certified plastic surgeon who will likely recommend liposuction and direct excision of the gland. You should obtain a nice result.
Kenneth Hughes, MD, Board Certified Plastic Surgeon
Los Angeles, CA

Obviously, it is difficult to make a diagnosis from a picture.  That being said, it appears you have both true and pseudo gynecomastia.  The pseudo gynecomastia is the fat on your chest that gives it a somewhat conical shape.  The true gynecomastia is the breast tissue which is pushing out your nipple areolar complex, i.e. puffy nipples.Surgery is the only known treatment to correct this glandular problem.  If you were my patient, I would liposuction the fat on your chest through an incision on the side of your chest, and then make an incision around the bottom of your areola to surgically remove your actual breast gland.  

Puffy nipples is a form of gynecomastia where the breast tissue is pushing the nipples out, unfortunately there is no a treatment to reduce them without surgery. If you have had puffy nipples for more than 2 years it is most likely permanent unless you opt for surgery. Good luck.

Thank you for opening up this common question that raises in every mens’ mind. Puffy Nipples in men can be due to various reasons that can include excess body fat, low testosterone levels, use of steroids or certain exercises. In most of the cases, changes in diet, herbal supplements and some workouts like push ups or barbell bench press can decrease puffiness. This helps to reduce body fat and strengthen your chest muscles. You can decrease the puffiness in the pectoral area by doing some chest exercises, where these exercises are specially designed to tone and tighten the muscles.

There are also chances that you might be having gynecomastia where a hard lump can be felt under your nipple or areola region. This lump will turn out to be firmer than fat and this is also one of the best ways to differentiate from pseudo gynecomastia. Look out because this lump may also cause a little pain or be sensitive to the touch. However, if the diagnosis turns out to be Gynecomastia, aesthetic procedures may be the only option on your plate.

For this, you will be recommended a liposuction along with gland removal by your aesthetician. Gynecomastia surgery is a fast procedure where scarring is minimal and the results will be permanent. You might feel a little sore during the first three days after the surgery when you are resting at home, but the pain is usually minimal. As long as you maintain a stable body weight and refrain from using any steroids or other drugs that drastically affect your testosterone levels, this procedure produces permanent results.