Is male areola reduction different from female?

Thank you for your inquiry that may be helping a lot of other guys with similar issues.  There are differences between the male and female forms and shapes, and so, the techniques would naturally be approached differently.  I agree with my colleagues who have responded on your post in that it is important to communicate precisely what you want to change in more detail than diameter.  Adjustment of your asymmetry, balance in position, and nipple profile should be addressed.  All plastic surgeons should be technically adept and able to help, just don't proceed with the "one technique fits all" surgeon.

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 a board certified plastic surgeon with experience in male breast surgery is consulted. The surgeon should determine if the patient is a suitable candidate for male breast reduction by liposuction or glandular excision. It is 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. The excision technique is used on cases of gynecomastia where excess skin and glandular breast tissue must be removed and the areola or nipple needs reduction and repositioning to create a natural looking appearance. The incision patterns are determined by the specific condition of the patient. 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.

Thank you for your excellent question.  Similar to female patients the areola of a man can be reduced to better approximate the desired size in men, approximately 3cm in diameter.  Subtle asymmetries between the heights of each can be adjusted during this surgery as well.  Be sure to see a board certified plastic surgeon in consultation to discuss the best option for you. 

The male areolar reduction is very similar to that in the female. It is likely that many surgeons who do breast procedures would be very capable of doing this. Some movement in a particular direction can usually be obtained, but with limitations.

Areola reduction is commonly performed for male gynecomastia surgery. The biggest issue is the pleating that can occur around the nipple and sometimes this can be difficult to get to settle down over time. Make sure you see a board certified plastic surgeon who has expereicne with gynecomastia surgery. Good luck!

Male nipples are closer to the fold and are oval shaped instead of round like they are in women.  Take your surgeon photos of the nipples you want and go from there.  That way, there is no confusion and you've reminded your surgeon what male nipples are supposed to look like!  Hope this helps.-JGH

Hi,Thanks for the post. The technique for reducing male areolas is similar to female areolas. At 50mm your areolas are too large, especially for your height and weight. Standard areola in a male is ~ 25mm. The nipple heights can be adjusted at the same time. Sincerely,Dr. Babak Dadvand