Will my puffy nipples go away? I'm a 16 year old boy (Photo)

Question

I was wondering if I have gyn or is it just puberty I am 16 and my nipples r puffy when I'm warm they protrude but when I'm cold they look more like a pec

Michael Constantin Gartner, DO · Answer

It is common for adolescent boys to have some sort of excessive breast growth, but this tends to resolve itself as they approach adulthood. Maintaining a healthy weight also helps reduce the risk of gynecomastia. You should see your doctor for a better assessment, but it does appear that you have a mild case of gynecomastia.

Navid Jallali, MB ChB (Hons), MD, FRCS (Plast) · Answer

It is common for boys going through puberty to develop excessive breast growth, but this tends to resolve itself as they approach adulthood. In general I would recommend waiting 12 months and if the gynecomastia has not resolved have a hormone profile carried out.

Jed H. Horowitz, MD, FACS · Answer

Gynecomastia is a common occurrence in boys
going through puberty. Categorized as physiologic gynecomastia, up to 2/3 of
boys going through puberty develop some form of gynecomastia. This form of
gynecomastia is due to the surges in testosterone and estrogen which often lead
to an imbalance of the testosterone to estrogen ratio. In up to 75% of boys who
develop pubertal gynecomastia, it will disappear without treatment within 2 years.
In 90% of boys with pubertal gynecomastia, it will disappear without treatment
within 3 years, but after 5 years of waiting it may be time to look into
treatment options.Search out local plastic surgeons for
consultations in the best treatment option to help resolve the puffiness with
your body type. Best of luck to you! #gynecomastia #age 17 or under

Miguel Delgado, MD · Answer

If you have had "puffy nipples" for more than 2 years, they probably will not go away without surgery. If you decide to have surgery, be sure to see a Board Certified Plastic Surgeon who specializes in gynecomastia. Good luck.

Michael Law, MD · Answer

It is not unusual for young males to have puffy nipples. This may or may not go away on it's own. For younger teens, I suggest waiting at least a year before considering surgery unless the issue is very significant.  A physical examination can determine whether or not the unwanted fullness is fat or glandular tissue. Either way, this can be improved by surgery. Visit a plastic surgeon with a lot of experience with gynecomastia. The goal will be to minimize the unwanted fullness with as little visible scarring as possible
So many gynecomastia patients have shared with me the self-consciousness, embarrassment, frustration and psychological stress that they have endured because of breast enlargement. Most never feel comfortable taking off their shirt at the beach or at the pool or wearing a snug-fitting shirt.  If you have experienced any or all of these issues personally, I want to assure you that (1) you are not alone and (2) essentially every case of gynecomastia can be significantly improved, and most can be corrected completely.
The most common form of gynecomastia (‘mixed glandular/adipose’) requires ultrasonic liposuction and, in some cases, direct breast tissue excision as well. 
My goal is to create the smallest incision with the smallest scar possible. My library of gynecomastia videos will help explain the different approaches I take to addressing different types of gynecomastia. 
Take your time researching your surgeon. Look at several websites, go on several consultations, speak to other patients and of course view many many before and after photographs. Find a plastic surgeon who performs gynecomastia surgery often and with whom you feel comfortable.

Babak Dadvand, MD · Answer

Hi Bdswim,Thank you for posting the photos. Based on the photos it appears that you have gynecomastia. If you have no other medical reasons to explain your gynecomastia (i.e. medications, hormone disorders, etc), then this type of gynecomastia falls under the category of physiologic gynecomastia.  This is a fairly common occurrence in males going through puberty. Some statistics show that up to 65% of boys going through puberty develop some form of gynecomastia. The key is that in most of these boys, the gynecomastia goes away within 2 years. If it has been at least 2 years since you have noticed the puffy nipples, you may need surgery. Before seeing a plastic surgeon, you should be evaluated by your pediatrician to make sure there are no underlying medical issues that are causing this. This can be done with a thorough history and physical examination in addition to checking several hormone levels. If these are all normal, then you should be evaluated by a board-certified plastic surgeon who specializes in gynecomastia surgery. I have treated many teenagers with gynecomastia similar to yours, however only if they meet the following criteria:1. Have had the gynecomastia for more than 2 years2. Have no other untreated cause for their gynecomastiaHope that helps.Dr. Dadvand

Tom J. Pousti, MD · Answer

Thank you for the question and pictures. I would suggest that you seek consultation with your primary care physician and/or  board-certified plastic surgeons. Physical examination will be key when it comes providing you with an accurate diagnosis. Based on your description, it is possible that you are dealing with gynecomastia. "Gynecomastia" comes from the Greek meaning "gyne" meaning woman and  "mastos"  meaning breasts.  It refers to abnormal development of large mammary glands in males. Although there may be many “causes”, most cases are idiopathic (no specific cause). The use of certain medications, drugs, organ dysfunction (kidney or liver), hormonal imbalances etc. may also be causative.  Persistence 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 liposuction  surgery may suffice. If/when the time  comes for surgical intervention, please make sure that you seek consultation with board certified plastic surgeons who can demonstrate significant experience achieving the types of outcomes you would be pleased with.You may find the attached link, dedicated to gynecomastia concerns, helpful to you as you learn more. Best wishes.

Vasdev Rai, MD · Answer

You have gynecomastia.  It is causing your puffy nipples.  Usually gynecomastia self resolves by age 16.  You may need surgery to resolve your concerns if it continues to persist.

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for the question and photos and it would appear you have gynecomastia which should have resolved after puberty and now may require surgery to removeDr Corbin

Jay M. Pensler, MD - Account Suspended · Answer

What you refer to is described as gynecomastia.All men have some enlargement of the breast bud as they go through puberty.The enlargement typically resolves.In some patients there is no resolution of the increased size of the breast tissue.Without ant details regarding you history I cannot comment further.

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