If my nipples go erect after a shower but stay puffy when it's warm can it still be gyno

Thank you for your question."#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.  Puffy nipple surgery usually only takes an hour or two and recovery time is often less than a week.  You should contact a #boardcertified plastic surgeon for an in-person consultation.

Gynecomastia is the presence of excess or abnormal breast tissue in a male chest, often in conjunction with excess diet-resistant fat. Gynecomastia can be associated with protrusion of the areolas, although many men have gynecomastia with flat areolas. It is also possible to have "puffy" areolas with minimal tissue behind them. In certain cases when excess tissue is causing protrusion of the areolas, the problem can be corrected with liposuction and glandular tissue removal (both of which I perform through a small, well hidden areolar incision). In other cases, it is very difficult to change the areolar appearance even with tissue removal. The skin of the areolas is much thinner than the rest of the chest skin, so when the areolas are warm (not contracted), the skin can protrude, like a weak spot in an inner tube. Unfortunately, attempts to remove skin all the way around the areolas to tighten them down can leave an unacceptable scar for some males. The best option for you would be to see an experienced plastic surgeon, and have an assessment as to whether tissue removal will help flatten your areolas.

Thank you for submitting your question. I hear this question quite often. Type 1 gyno is also referred to as Puffy Nipple. It is common for PN to go away with cold weather. It also often goes away due to skin contraction from simply pinching the areola. This is a very common trick PN patients use. Conversely, hot weather makes PN worse, which is what you are experiencing.I rarely have to make the diagnosis of gynecomastia. The patient does this because they are uncomforable with taking off their shirt in public, they do not wear tight shirts, they are uncomfortable at the beach, etc. I evaluate them and tell them whether or not I can achieve the masculine look they are pursuing.

Nipples alone do not make diagnosis of gynecomastia. However nipple issues can be part of gynecomastia.  Definitve diagnosis requires an exam by a doctor.