I think my nipples are puffy and too large. Do I have Gynecomastia? (Photos)

Thank you for your question and the photos you provided. I think an in-person exam would help determine the best treatment path. You may benefit from liposuction to the chest which can help remove excess fat with areola reduction. I suggest you have a consultation with a board certified plastic surgeon to discuss your concerns. Good Luck.

I highly recommend that you book an in person consultation with a board certified plastic surgeon as it is very difficult to assess whether you have gynecomastia based on pictures alone. This assessment can only be made in person with your doctor. In the meantime I'm including some information on gynecomastia surgery.

Thank you for your question and for your photos. Based on your photos provided, it is hard to determine whether you have Gynecomastia or not. With men who don't even have Gynecomastia, they can develop swollen in other words puffy nipples. This can be corrected with areolar reduction. An in person examination is best recommended with a board certified plastic surgeon.

Dear MarkJackson120,
It is hard to tell for sure without an examination. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for your question.It is difficult to say if you have Gynecomastia from your photographs. If all you have is loose skin / puffy nipples or large areola, Gynecomastia surgery will not be useful, but areolar reduction will be helpful. Please find an experienced Board Certified Plastic Surgeon near you, who can help you with your concerns. All The Best !

According to the photos, it seems you don't have gynecomastia. Even if you have it, it would be mild. Some men who don't have gynecomastia can develop puffy nipples that can be corrected with areolar reduction or some of the breast tissues. In any case, I suggest you contact the Board Certified Surgeons to avoid any complaints.

Thank you for sharing your question and photograph.  If you were to have a case of gynecomastia it would be mild and would require an in-person examination of your tissues to confirm.  There are many men who develop "puffy" nipples that do not have gynecomastia and this often can be helped with either an areolar reduction or removal of some of the tissue behind the areola.  Hope this helps.

As I study your photos, without having the opportunity to examine you in person, you indeed do appear to have gynecomastia. I perform this surgery in my practice not by making a scar on you nipple/areola complex, but by making a tiny dot near your hair-bearing skin of your armpits (axilla), and accessing the excess fat and male breast tissue from this port. The slight puffiness of your nipples is due to the excess breast tissue behind them. When the unwanted breast tissue and fat are extracted with very fine cannulas designed specifically for this surgery, the breast and nipple/areola complex will lie much closer to your chest against the pectoralis major muscle in a normal position. In my practice, I have had great success with the cannula technique wherein the strokes are counted, and the volumes of each side are comparatively measured. I find this technique far superior than making a half-moon incision under the areolae, which would leave you with a scar on your chest. Thank you so very much for your inquiry, and I hope this answer has helped you to understand your issue and the treatment for it. 

Hello and thank you for your question and photo's.  It is difficult without seeing you in person, you may just need the areola's reduced.  Make sure you consult with a Board Certified Plastic Surgeon .

Technically speaking you do not have gynecomastia which is enlargement of the male breast tissue. You do however have a mild case of herniated nipple areola complex or "puffy nipples". Your nipples themselves look pretty normal however there appears to be mild puffiness or protrusion of the areolae (the pink skin surrounding the nipple itself). This can be seen in the male or female breast. You may notice that this puffy area is not so puffy when you are cold and the tiny muscles behind the areola skin are contracted. This tightens the overlying pink skin and pushes back the puffiness. This condition can be improved by removing a small amount of the breast tissue that lives behind this weak areola however it does not always fix the whole problem because it doesn't necessarily tighten or strengthen the areola skin.