I'm a 23 year old male who developed puffy nipples. Is there a fix for this? (Photo)

Question

About year ago my nipples got very puffy, and it just doesn't look good. I just wanted to know what kind of operation I would need to have done to get my nipples back to normal, and around how much would it cost?

Jed H. Horowitz, MD, FACS · Answer

"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.

Tim Neavin, MD · Answer

Puffy nipples sounds like it could be gynecomastia.  Yes, a good treatment exists.  Surgery can remove the puffiness permanently.  Unfortunately, there are no magic pills to make this go away.  Cost ranges from $5,000 to $8,000.

Michael Constantin Gartner, DO · Answer

The puffiness of your nipples can be reduced by targeting the tissue that is adding bulk to the area. This would most likely require excision and it can range greatly in price depending on where you are.

Larry S. Nichter, MD, MS, FACS · Answer

Puffy nipples can be reduced by removing extra breast tissue directly below the areola and nipple. It is often done under local anesthesia as an office procedure. Addtional breast tissue fullness outside of the nipple area is usally removed with liposuction. Exercise will not help this condition. Cost depends on experience of the surgeon, location of the surgery, surgical time,  and type of anesthesia used.

Miguel Delgado, MD · Answer

Puffy nipples, is one of the most common forms of gynecomastia and usually forms in adolescent years. This is due to concentrated breast tissue forming under the nipple areola complex and then pushing the nipple out. Male breast reduction surgery is the solution. Be sure to see a Board Certified Plastic Surgeon that specializes in gynecomastia surgery. Good luck.

Mark Crispin, MD · Answer

You appear to have a mild form of gynecomastia -although an exam is necessary to confirm this fact.  An outpatient excision of the nipple bud and/or some liposuction should improve this.

Scott W. Vann, MD, FACS · Answer

If you have some thickened tissue under your nipple then removal of the tissue will help make your nipples flatter. You need a exam to see if the tissue is there and if you have any thick tissue in the breast area not under the nipple which you might need removal too. Costs depend on how much needs to be done, anesthesia or not, and region of the country. See a  plastic surgeon who treats gynecomastia and they can tell you how much surgery and details on cost. Good luck.

Harsh B. Amin, MS, MCh · Answer

Puffy nipples are result of underlying breast gland nodulesit can be corrected by an opd procedure under local Anesthesia it costs 35000 ₹ including all costs ( also investigations and post operative medications )

G. Wesley Price, MD, FACS · Answer

Yes you should get a nice correction with direct excision thru a small peri-areolar incision and probably minimum liposuction. This should be a one time procedures as long as your weight stays about the same..

J. Garrett Harper, MD · Answer

You have small breast buds under your nipple-areolar complexes (might not feel small to you, though).  These can be excised carefully through a small incision from 3-9 o'clock around your existing areola.  Care should be taken not to take too much or you will look worse with a divot.  Cautious and careful surgery will fix this for you.  It can be done under local anesthesia or general for your comfort.

I'm a 23 year old male who developed puffy nipples. Is there a fix for this? (Photo)

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