Photo provided does not allow a definite diagnosis to be made. You probably have a component of gynecomastia, and surgery would improve this. Skype or in-office consult would be necessary for evaluation of the extent of your gynecomastia and to give you the best recommendation regarding whether liposuction, excision, or a combination of both would be the best approach. Whether you have puffy nipples or puffy areolae, both can be corrected in a small procedure under local anesthesia.
Hi Adventurous272206Treatment options for enlarged male breasts depend on the amount of breast enlargement and the amount of associated excess skin. Treatment options for enlarged male breasts depend on the amount of breast enlargement and the amount of associated excess skin.