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.

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. 

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