22 Year old male with puffy protruding nipples, What is the best procedure for me to get done? (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. 

You can have a very nice improvement with surgery with a minimal incision approach.Kenneth Hughes, MDBeverly Hills, CA

It is always difficult to give precise advice from photographs, but it seems that you would do very well with and incision around about one half of the areola to allow access for removal of your extra tissue. In your case, your skin may be capable of tightening to allow a nice flat contour with this minimal incision. Only a close examination by a board-certified plastic surgeon would be able to confirm this.

Hello,Thank you for your question.  An in-person exam with a board certified Plastic Surgeon will be the best way to find out which surgical plan is most appropriate for you. You should be able to achieve good results with some combination of excision and liposuction- through a small incision. An excess growth of breast tissue and herniated/puffy areolas cannot be reduced with weight/fat loss. Gynecomastia affects all shapes and sizes of men- slim ones as well. The surgical techniques used to address this can be quite simple and relatively minor but you will need a customised approach. I recommend that you book your in-person consultation with a Plastic Surgeon who specialises in this procedure and find out about your options. Compare recommendations by meeting with more than one surgeon so that you feel confident with your plan.All the best

Hi ktax1993,Thanks for the post and photos. It appears that you have gynecomastia based on the photos. That being said the only way to give you advice about the specific technique best for you would be an in-person examination. This is not a cookie-cutter surgery and needs to be individualized. You will likely need excision but may or may not need liposuction.Sincerely,Dr. Dadvand