Puffy Nipples, Not Gynecomastia

i had a consult with a plastic surgeon yesterday and he said that the gland under my nipples is very small. And that evey man has a little bit of gland and its not gynecomastia. You cant feel it unless i contract my muscles. And its about the size of the peanut. But its still the cause for my puffy nipples, because i have no fat. So i dont know what to do. Isit still gynecomastia but just a very mild case. and i need to only have a very small amount removed. Ive had it for 6 years now.

Doctor Answers 28

Gynecomastia male breast reduction

Even with minimal breast tissue enlargement, an enlarged areolar diameter tends to produce a feminized breast/chest appearance. For patients with an enlarged areolar diameter, an areolar reduction can be performed in addition to direct excision of breast tissue and liposuction. This requires an incision, and thus a scar, that encompasses the entire circumference of the areola. However, the scar is usually obscured fairly well by the color difference between areolar skin and the adjacent chest skin, and the reduced areolar diameter can be critical to producing a more masculine appearance of the anterior chest.

Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 118 reviews

Puffy Nipples, Not Gynecomastia

You need to be examined by a surgeon or have some photos to be reviewed. Seek a plastic surgeon with specialty training in gynecomastia surgery.

Ron Hazani, MD, FACS
Beverly Hills General Surgeon
4.9 out of 5 stars 289 reviews

Puffy Nipple Is Gynecomastia

Hi eurofine,

One type of gynecomastia is referred to as "puffy nipples." This is when the excess tissue (typically gland) is confined to the borders of the areola. This will show more with contraction of the pectoralis or when your areolas are warm (after a hot shower), but will look better when stimulating the nipples or when they are cold. I recommend being evaluated by a plastic surgeon who is experienced in evaluating gynecomastia patients.


Dr. Dadvand

Babak Dadvand, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 44 reviews

You are describing a very mild form of gynecomastia

You are describing a very mild form of gynecomastia.  When confined to the areola, a reduction in the size of the areola and resection of the tissues just deep to its surface is usually sufficient to remedy the situation.

Chen Lee, MD
Montreal Plastic Surgeon
5.0 out of 5 stars 17 reviews

Puffy nipples is a common complaint for younger male patients

Examination is essential to determine how effective surgery will be for your concerns. Reducing the mound of tissue behind the areolae is the most effective and commonly offered treatment. In some patients, liposuction ( I prefer laser assisted liposuction but ultrasound assisted is also worthwhile) can help but not eliminate the problem. More often excision is combined with liposuction for best results. 

There are some patient who have minimal tissue behind their areolae but have larger diameter areolae that can be reduced with surgery. Non-surgical options have not yet been of any help.

Surgery of the male breast should be straight forward to be done as an outpatient with a return to light activities in 1-2 weeks. 

Mathew C. Mosher, MD
Vancouver Plastic Surgeon
4.5 out of 5 stars 34 reviews

About Puffy Nipple Areola Complex

"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. The most important decision to be made before performing any surgical procedure is determining whether you are an ideal #candidate.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 109 reviews

Puffy nipples

Puffy nipples is a common problem where patients do not require treatment for gynecomastia as a whole (liposuction  / liposuction with gland excision), but need to address just the puffiness. The puffy nipple results due to a larger diameter of the areola & a small glandular component below the nipple areola complex. Both need to be addressed for a successful outcome.

The surgery is done under local anaesthesia as daycare. It would involve a circumferential excision of the areolar rim along with the glandular tissue though a small incision. I hope this helps.

Sameer Karkhanis, MS, DNB
India Plastic Surgeon
4.9 out of 5 stars 126 reviews

Gynecomastia cause of puffy nipples

Puffy nipples is usually a result of excess glandular tissue, which is a condition called gynecomastia. This can be corrected by removing the excess tissue, as well as possibly reducing the size of the areola.  

Ronald Levine, MD
Toronto Plastic Surgeon
4.6 out of 5 stars 24 reviews


Pictures would be helpful, but it sounds like you may have a mild form of gynecomastia. If the appearance is bothersome, a simple subareolar resection will recontour the tissues beneath the areola and masculinize your chest contour.  Sometimes liposuction will be used to feather out the resected area.  Consult in person with an experienced plastic surgeon.

Jeffrey D. Wagner, MD
Indianapolis Plastic Surgeon
4.9 out of 5 stars 26 reviews

Puffy nipples

You can have the excess tissue removed to make your nipples less puffy, but with any surgery you will be left with a minor scar. Please see a surgeon who is experienced in this. 

Michael Constantin Gartner, DO
Paramus Plastic Surgeon
4.7 out of 5 stars 137 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.