Making Nipples Smaller For Men

Hi @Dan Gordon, Thanks for the question!
For these kinds of puffy nipples, patients typically will have a rubbery, more firm glandular component which tends to be centralized under the nipple area. For these patients, I would recommend the Pull Through Technique along with very little liposuction. This involves a tiny incision away from the breast, concealed in an area of natural shadow, and through that incision we first liposuction all the fatty tissue and then use that same incision to remove the rubbery glandular tissue from behind the nipple. The scars are imperceptible and heals great. 
If you just have large nipples, then you may be able to just have a nipple reduction which would be a circular scar at the junction between the colored nipple and the normal skin to reduce the size to about 28 millimeters which is the average male nipple diameter as opposed to 42-45 which is typically seen in females. 
This procedure has a high success rate at creating a masculine and flat chest surface that won't show through sweaters or shirts which is usually the main complaint I hear from patients with gynecomastia.
Thanks,
Dr. Karan Chopra
Plastic & Reconstructive Surgeon
Johns Hopkins Trained 
Body & Face Expert

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. 

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!