Making Nipples Smaller For Men

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

Doctor Answers 44

Puffy Nipples Gynecomastia

Even with minimal breast tissue enlargement, an enlarged areolar diameter tends to produce a feminized breast/chest appearance. For patients with an enlarged areolar diameter, an areolar reduction can be performed in addition to direct excision of breast tissue and liposuction. This requires an incision, and thus a scar, that encompasses the entire circumference of the areola. However, the scar is usually obscured fairly well by the color difference between areolar skin and the adjacent chest skin, and the reduced areolar diameter can be critical to producing a more masculine appearance of the anterior chest.

Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 118 reviews

Making Nipples Smaller For Men

You are likely a good candidate for this procedure but photos and examination will help determine that. Cost in this region is around $4-8K depending on experience and OR fees. Seek a plastic surgeon with specialty training in gynecomastia surgery.

Ron Hazani, MD, FACS
Beverly Hills General Surgeon
4.9 out of 5 stars 288 reviews

#gynocomastia #malebreastreduction

Without photos it is not possible to determine if you have true gynecomastia or simply need liposuction. If you are concerned with the diameter of your areola, a mastopexy would reduce the size of the areola.     I would see a board certified plastic surgeon to discuss.     

Jack Peterson, MD
Topeka Plastic Surgeon
4.5 out of 5 stars 39 reviews

Gynecomastia Answers

Dear Dan,

Gynecomastia, or gyno, develops in puberty when testosterone levels surge and some of it is transformed into estrogen and stimulate the breast bud which both men and women are born.  If it persists longer than 2 years, it usually will not reverse and surgery is required.  This is the most common procedure that I perform in my practice and I have developed a technique with no scar on the chest, no drainage tubes, and return to no workout restrictions in three weeks.  Patients are back to desk jobs in three days. 

I hope this has been helpful to you.


Robert D. Wilcox, MD

Robert D. Wilcox, MD
Dallas Plastic Surgeon
4.0 out of 5 stars 20 reviews


Thank you for your question!  It is hard to tell exactly what you suffer from without a physical examination.  I suggest you seek a board certified plastic surgeon and have a consultation.  Best of luck!
Dr Dhaval PatelDouble Board Certified Plastic Surgeon ChicagoHoffman EstatesOak Brook

Dhaval M. Patel, MD
Hoffman Estates Plastic Surgeon
4.8 out of 5 stars 92 reviews


Puffy nipples is usually a result of excess glandular tissue, which is a condition called gynecomastia. This can be corrected by removing the excess tissue, as well as possibly reducing the size of the areola. The cost would be about $6000 to $7500 in Canada. A board certified plastic surgeon would be able to fix this, but make sure they have experience in this concern.

Ronald Levine, MD
Toronto Plastic Surgeon
4.6 out of 5 stars 24 reviews

Don't worry - your problem can be fixed

It sounds like you have gynecomastia - the enlargement of male breast tissue.

About 80% of teenage boys get it, and frequently it doesn't go away.  So don't freak out about it.

Surgery can often totally correct it.  And as the tissue is removed the nipple get smaller and less puffy.

It is treated by a plastic surgeon.  Peruse this site and you'll find questions and photos answered by experienced doctors.  Choose one or two and go on consultations.

Prices will vary between doctors, their experience, the type of anesthesia, and a number of other factors. Ask the price when you call the office.

Steven Teitelbaum, MD
Los Angeles Plastic Surgeon
4.6 out of 5 stars 48 reviews

Gynecomastia is relatively common and easily treatable

Gynecomastia can occur very commonly during puberty due to normal hormonal changes. Nipples may be swollen and tender. Typically is resolves after puberty but in some men, despite normal weight it can persist. Correction is a simple procedure involving reduction of underlying breast gland (and fat if present) through very small incisions leaving little scarring. Usually the skin shrinks but occasionally with a more extreme condition, the skin may need to be reduced as well. 

Minor outpatient surgery, minimal discomfort and quick recovery. Cost varies by geographic region and doctor's practice.

Schedule a consultation with a Plastic surgeon to learn more details.

David J. Levens, MD
Coral Springs Plastic Surgeon
5.0 out of 5 stars 74 reviews

Making Nipples Smaller For Men

Thank you for your question.  The development of puffy nipples in males can certainly indicate gynecomastia.  With any breast development behind the nipple, the areola will be stretched and appear enlarged.  Surgery can be done to remove the glandular tissue which will make the appearance of your nipples and areola smaller, and if the areola remains enlarged after glandular excision, an areolar reduction can be performed to surgically minimize the areola, but this does require a circumferential incision around the areola.  Hope this helps.  

Nelson Castillo, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 64 reviews


Good questions, Dan.  Puffiness of the nipple can certainly be gynecomastia.  There is a safe and effective treatment which is surgery.  The puffiness from glandular tissue is excised.  Cost ranges from $5,000 to $8,500.  I would recommend a board certified plastic surgeon.

Tim Neavin, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 42 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.