Puffy nipples some times only for few seconds nipples are fit. Any suggestions? (photos)

"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.Men who suffer from large #areolas may notice that after breast surgery, the skin of the chest muscles will tighten, causing the areolas to tighten and diminish in size. This is a result of the removal of glandular and/or adipose tissue.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.#PuffyNipple surgery 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. Therefore, patients who suffer from "Puffy Nipples", and who view it as an unaesthetic and unpleasant condition, may desire surgical intervention to correct the "puffy nipple" condition. 

Thank you for your picture and question regarding gynecomastia. It appears from your history and pictures that you do indeed have gynecomastia. In your case, since you have localized male breast tissue just under the nipple areola complex, you have Type 1 gynecomastia. The treatment is a relatively straightforward surgery. I would suggest either male breast tissue reduction with VASER liposuction or direct surgical excision of the breast tissue. If you decide on VASER liposuction, a small incision is placed in armpit. The incision is the size of a pencil eraser. If you decide on a direct surgical excision, an incision is made where the pigmented areolar meets the skin. The incision is approximately 2 cm long. In your case, the procedure would take one to two hours. The procedure can be performed under local, IV sedation, or general anesthesia. Your gynecomastia reduction procedure would be performed as an outpatient procedure and you would be able to go home the same day.
Some cases of gynecomastia can be due to hormonal imbalances. However, most cases of gynecomastia are undetermined.
Since your chest and nipples are causing you such distress, I would suggest surgical treatment soon. I would seek a board-certified, plastic surgeon who has a significant experience in treating gynecomastia. If you have any questions regarding gynecomastia or the surgical treatment of gynecomastia, please contact my office. Sincerely, Dr. Katzen.

The nipple has smooth muscle cells which contract with cold and stimulation.  Warm usually relaxes the smooth muscle tissue and the areola widens or seems more puffy.  The breast, nipple or areola tissue can all be reduced with surgery.Make an appointment with a Board Certified Plastic Surgeon in your area.