Would puffy areola surgery leave scars? (Photo)

I have puffy areolas and it really looks bad. I think I have slight gyno but I could over come it if my areolas weren't huge and puffy. When they are cold they shrink to normal size. They get puffer than they are in the pic

Doctor Answers 5

Areola reduction

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An areola reduction may be reasonable, but it will leave a permanent scar. Best of luck with your decision to move forward.

New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Gynecomastia with "Puffy Areolae"

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Your "puffy areolae" are the result of moderate gynecomastia. You would have prominent breasts even if you reduced the areolae. Because of the significant prominence of the areolae and the skin around them, you need, at minimum, a periareolar donut skin and areolar reduction and resection of the breast tissue. Although the tissue can be resected through a small distant incision, the extra skin will probably be more of a cosmetic concern than an almost invisible scar at the edge of a smaller, flat areola. Make sure you see a board certified plastic surgeon with significant experience in dealing with more than minimal gynecomastia.

Robert T. Buchanan, MD
Highlands Plastic Surgeon

If gynecomastia, scars will result...

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Thank you for the question and pictures. Accurate diagnosis would necessitate physical examination. It IS important to differentiate gynecomastia ( excess breast tissue) from lipomastia ( otherwise known as pseudo-gynecomastia or excess adipose tissue of chest wall). Treatment will differ depending on diagnosis. In most cases, gynecomastia is treated with resection of the excess breast tissue; peripheral chest liposuction may also be helpful.

My best suggestion: get into the "shape" you want to be physically. Then if your chest wall is still of concern, seek consultation with board-certified plastic surgeons who can demonstrate significant experience achieving the types of outcomes you will be pleased with. You may find the attached link helpful to you as you learn more. Best wishes.


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definitely not. For about 15 years we have been doing the surgery completely through a tiny almost invisible incision inside the armpit. That includes not just the removal of the fat with Liposuction, but removal of the dense gland tissue using a specialized instrument that can liquefy it and suction it out through the same small incision. It's a well described technique and offered by board-certified plastic surgeon's. Find someone in your area that does the operation this way and you will not have to be concerned about scars. 

Sherwood Baxt, MD
Paramus Plastic Surgeon

Treating Puffy Nipple Areola Complex

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"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 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.
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.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.