I'm 19 year old male with puffed up areola. What treatment would you recommend?

Question

I'm am 19 years old and my areola is puffed up. I don't think it could be gyno because it only puffs up for a couple of seconds, and it gets back to normal when it touches cold water or when I touch it with anything really. I'm not overweight really, I'm just normal. I could use more muscle but I don't know if that has anything to do with it. Hopefully, I don't need surgery because I don't think it's gyno. One second it's there and the other it's gone. I've had it since I hit puberty.

Miguel Delgado, MD · Answer

Puffy nipples is normal for guys going through puberty, in over 90% of the cases it will resolve on its own, usually within a couple of months to a couple of years. If you still have it after puberty it most likely will be permanent. Puffy nipples improve with coldness because a muscle in the areola is stimulated and contracts, tightens and flattens. Once the stimulation or coldness is removed the muscle will relax and the puffy nipple returns. If your gynecomastia is permanent, you may be a candidate for a less invasive procedure called the "pull through" procedure, this is where the gland is removed through a small incision at the edge of the areola.Hope this helps, good luck.

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for your question but photos and an examination are needed to determine what is going on Dr Corbin

I'm 19 year old male with puffed up areola. What treatment would you recommend?

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