I have gynecomastia & my nipples are pointing which are prominently visible when I wear tight t shirts. Any suggestion? (photo)

According to official statistics, 36% of adult young men and 57% of older #adult men in the United States have this medical condition in one of the four grades. About 200,000 to 3 million cases of #gynecomastia are being reported every single year. So if you have #breast #enlargement and you feel you're an exception, please understand that 1 in 3 young adult #men and 1 in 2 older adult men are just like you and have breast enlargement. "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.There are three types of surgical treatment options available that treat gynecomastia. Your board-certified plastic surgeon will recommend the type best suited for you. The most important decision to be made before performing any surgical procedure is determining whether you are an ideal candidate.

Hi Deepak,Whatever you have written is typically how a person with gynaecomastia feels.Your photos seem to suggest that you have a mild gynaecomastia (grade 1)the most important indication for surgery though, is how you feel about the conditionthe best method for correction is liposuction and gland excision

From your photos, it looks to me like you have well developed pec muscles.  It is possible that the plastic surgeon you have seen was right and there is very little that needs to be done.  On the other hand, some man have very little gynecomastia but their main concern is puffy nipples.  This can be corrected surgical as well.

Hello,This is quite common and a large number of men feel the way you do. There are different degrees of severity and what bothers you may not bother another. I recommend that you book another consultation with a board certified Plastic Surgeon and get a second opinion, or 3rd. Find a Plastic Surgeon who you feel understands your concern and your goals.All the best

Thank you for the photos. You would greatly benefit from the Gynecomastia Reduction procedure. My patients can see the results within 24hours of surgery, and it gets better each week as swelling resolves. I recommend this procedure no later than early 30's as we are counting on your skin to be more elastic and "shrink wrap" down over the muscle. The longer you wait, your skin becomes less elastic and can lead to hanging skin afterward, not a good tradeoff. Be sure to consult with a Board Certified Plastic Surgeon who does a large number of these procedures and can show you the photos of these patients results so you can judge for yourself.  Best Wishes