When I went through puberty (23 now), I seemed to have suffered some gyno (I believe thats the correct term). My nipples are puffier and larger than most men. I work out daily and have a good build, but the larger nipples lowers my self esteem. Is there a surgery to fix this? If so what is the average cost? What type of doctor would I go see? And what is the average recovery time? Thanks, Dan
Answer: Large, Puffy Nipples Thank you for your question. As a plastic surgeon, I dedicate a large portion of my practice to the treatment of gynecomastia and male chest concerns, and from your description, it sounds like it very well may be gynecomastia. First of all, I recommend going to see a board certified plastic surgeon that specializes in gynecomastia and male chest issues. In my practice, I prefer a "minimal incision" surgical approach sometimes referred to as a "pull through" excisional approach for gynecomastia. I combine lipo-contouring with small cannulas and excision of any glandular tissue thru a very small puncture-type incision at the base of the areola. The surgery is typically about an hour or less, and is an outpatient procedure with a rapid recovery. I have found that many patients that have "larger areolas" that are also puffy, the diameters of the areolae will contract and shrink sometime as much as 15 percent without actually cutting around the areolae. This all depends on the elasticity and genetics of each particular patient. This helps get a flatter and often smaller diameter areolae. If patients are still bothered by large diameter areolae after the procedure, then I can perform an in-office areolar reduction. It has been my experience that patients are most happy with the less invasive approach and it is pretty rare that patients need a formal areolar reduction. Patients that have lost a lot of weight (greater than 50 lbs typically) may have a bit more loose skin than will contract on its own and these patients may require areolar reduction. I hope this is helpful. Good luck!
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Answer: Large, Puffy Nipples Thank you for your question. As a plastic surgeon, I dedicate a large portion of my practice to the treatment of gynecomastia and male chest concerns, and from your description, it sounds like it very well may be gynecomastia. First of all, I recommend going to see a board certified plastic surgeon that specializes in gynecomastia and male chest issues. In my practice, I prefer a "minimal incision" surgical approach sometimes referred to as a "pull through" excisional approach for gynecomastia. I combine lipo-contouring with small cannulas and excision of any glandular tissue thru a very small puncture-type incision at the base of the areola. The surgery is typically about an hour or less, and is an outpatient procedure with a rapid recovery. I have found that many patients that have "larger areolas" that are also puffy, the diameters of the areolae will contract and shrink sometime as much as 15 percent without actually cutting around the areolae. This all depends on the elasticity and genetics of each particular patient. This helps get a flatter and often smaller diameter areolae. If patients are still bothered by large diameter areolae after the procedure, then I can perform an in-office areolar reduction. It has been my experience that patients are most happy with the less invasive approach and it is pretty rare that patients need a formal areolar reduction. Patients that have lost a lot of weight (greater than 50 lbs typically) may have a bit more loose skin than will contract on its own and these patients may require areolar reduction. I hope this is helpful. Good luck!
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Answer: Correction of puffy nipples Thanks for your question. The correction depends on the underlying cause. The most effective way to address this is to have a small surgical procedure which involves liposuction together with surgical excision of the breast gland. This will give you the best result and can be done as a daycase procedure. You need to see someone who specialises in breast surgery to get the best results.
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Answer: Correction of puffy nipples Thanks for your question. The correction depends on the underlying cause. The most effective way to address this is to have a small surgical procedure which involves liposuction together with surgical excision of the breast gland. This will give you the best result and can be done as a daycase procedure. You need to see someone who specialises in breast surgery to get the best results.
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April 29, 2020
Answer: Puffy/large nipples Thank you for your question. Generally in gynecomastia, the large nipples are a result of the glandular and fatty tissue that is behind the areola. When those are removed, the nipples shrink in size. In rare cases, there may be extra skin, and the nipple would have to be reduced in size by taking some of the skin around the areola away. Best to speak to a board certified plastic surgeon in person for an in person consultation. All the best,
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April 29, 2020
Answer: Puffy/large nipples Thank you for your question. Generally in gynecomastia, the large nipples are a result of the glandular and fatty tissue that is behind the areola. When those are removed, the nipples shrink in size. In rare cases, there may be extra skin, and the nipple would have to be reduced in size by taking some of the skin around the areola away. Best to speak to a board certified plastic surgeon in person for an in person consultation. All the best,
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October 18, 2019
Answer: Low Self Esteem in Men with Gynecomastia Hello and thank you for your question. Gynecomastia is the overgrowth of male breast tissue in addition to excess fat, and puffy or protrusive nipples are often result of enlarged or excess breast tissue. Gynecomastia surgery, which is performed in my licensed and inspected operatory, takes about 1-2 hours. Rather than putting an incision on the nipple/areolar complex (as is often done), in my practice I prefer to place the incision, which is actually more akin to a tiny dot, near the underarm. This way, you do not exchange the embarrassment of puffy nipples for the embarrassment of incisions on your nipples. This technique isn’t commonly practiced, but I believe the result is worth it, as the last thing patients want is to have visible scars. With my technique, if you had the procedure on a Thursday, you could be back to work (depending on your profession) on Monday. The cost varies with the amount of fat/male breast tissue to be removed. The most advisable approach would be to set up an appointment with a board-certified plastic surgeon who is experienced in this field.
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October 18, 2019
Answer: Low Self Esteem in Men with Gynecomastia Hello and thank you for your question. Gynecomastia is the overgrowth of male breast tissue in addition to excess fat, and puffy or protrusive nipples are often result of enlarged or excess breast tissue. Gynecomastia surgery, which is performed in my licensed and inspected operatory, takes about 1-2 hours. Rather than putting an incision on the nipple/areolar complex (as is often done), in my practice I prefer to place the incision, which is actually more akin to a tiny dot, near the underarm. This way, you do not exchange the embarrassment of puffy nipples for the embarrassment of incisions on your nipples. This technique isn’t commonly practiced, but I believe the result is worth it, as the last thing patients want is to have visible scars. With my technique, if you had the procedure on a Thursday, you could be back to work (depending on your profession) on Monday. The cost varies with the amount of fat/male breast tissue to be removed. The most advisable approach would be to set up an appointment with a board-certified plastic surgeon who is experienced in this field.
Helpful
February 5, 2019
Answer: Modern Gynecomastia Surgery Can Reduce Puffy, Prominent Nipple-Areolas in Men Thank you for your question. You will be happy to learn that you are not alone! Many men suffer from Gynecomastia characterized by enlarged nipples, areolars, glandular tissue, fat and excess skin. The good news is that modern gynecomastia reduction surgery is very effective for alleviating this problem in a virtually scarless way. With respect to the puffy nipple-areolar complex, The bulging, stretching and prominence is caused by the mass-effect of the glandular tissue directly under the areola pushing out on the nipple and areola. If that tissue is removed, the areola shrinks and the nipple becomes less prominent without any additional visible incisions. Non-surgical treatments or medications are ineffective for this problem. I recommend you consult with a board certified Plastic Surgeon with expertise in gynecomastia surgery for further evaluation. See the link below for pricing and additional information regarding the condition and treatment. I hope this helps! Best wishes!
Helpful
February 5, 2019
Answer: Modern Gynecomastia Surgery Can Reduce Puffy, Prominent Nipple-Areolas in Men Thank you for your question. You will be happy to learn that you are not alone! Many men suffer from Gynecomastia characterized by enlarged nipples, areolars, glandular tissue, fat and excess skin. The good news is that modern gynecomastia reduction surgery is very effective for alleviating this problem in a virtually scarless way. With respect to the puffy nipple-areolar complex, The bulging, stretching and prominence is caused by the mass-effect of the glandular tissue directly under the areola pushing out on the nipple and areola. If that tissue is removed, the areola shrinks and the nipple becomes less prominent without any additional visible incisions. Non-surgical treatments or medications are ineffective for this problem. I recommend you consult with a board certified Plastic Surgeon with expertise in gynecomastia surgery for further evaluation. See the link below for pricing and additional information regarding the condition and treatment. I hope this helps! Best wishes!
Helpful
April 20, 2018
Answer: Surgical options for gynaecomastia In the US I believe you would normally seek the advice of a plastic surgeon. I work in the UK and whilst most people here would also see plastic surgeons, some breast oncology surgeons also have an interest in gynaecomastia and offer the same procedures. Who you seek advice from therefore depends on where you want to have your surgery and who the best people are in that particular area specialising in it. The first thing to say is that you should have a general check up to ensure that there is no underlying cause for your issues. In the vast majority of people who develop these problems at puberty it's just something that happens. Many people find it resolves again on its own, but some don't. Either way it is usually appropriate to check various hormone levels with a few blood tests before embarking on surgery. There are also certain drugs that can cause or exacerbate this that would be good to rule out. There are numerous procedures described for gynaecomastia with a whole host of different scars involving liposuction, surgical excision or a combination of the two. The costs again depend on what you are having done and who you see. You should be able to expect the scars to have healed within two weeks, but are likely to be a little bruised and swollen still at that point. Most people would be exercising again within 4 weeks, but probably won't feel quite back to normal for more like 6 weeks. Gynaecomastia surgery is easy to get wrong so take your time, do your research and choose someone you trust.
Helpful
April 20, 2018
Answer: Surgical options for gynaecomastia In the US I believe you would normally seek the advice of a plastic surgeon. I work in the UK and whilst most people here would also see plastic surgeons, some breast oncology surgeons also have an interest in gynaecomastia and offer the same procedures. Who you seek advice from therefore depends on where you want to have your surgery and who the best people are in that particular area specialising in it. The first thing to say is that you should have a general check up to ensure that there is no underlying cause for your issues. In the vast majority of people who develop these problems at puberty it's just something that happens. Many people find it resolves again on its own, but some don't. Either way it is usually appropriate to check various hormone levels with a few blood tests before embarking on surgery. There are also certain drugs that can cause or exacerbate this that would be good to rule out. There are numerous procedures described for gynaecomastia with a whole host of different scars involving liposuction, surgical excision or a combination of the two. The costs again depend on what you are having done and who you see. You should be able to expect the scars to have healed within two weeks, but are likely to be a little bruised and swollen still at that point. Most people would be exercising again within 4 weeks, but probably won't feel quite back to normal for more like 6 weeks. Gynaecomastia surgery is easy to get wrong so take your time, do your research and choose someone you trust.
Helpful
