Making Nipples Smaller For Men

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!

Thank you for your question.  It is possible that you have some breast tissue that may need to be excised.  Gynecomastia is caused by really two different problems:  actual breast tissue that needs surgical excision and fat deposition which is best treated by liposuction.  Your deformity may be a combination of the two.  It is also possible to make nipples smaller by using a suture to cinch down the area. There is definitely a strategy to fix this, but it will require a consultation with a board certified plastic surgeon. 

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.

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, 

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. 

Areola reduction can be done together with reducing the amount of breast tissue you may have with liposuction. The incision would be circumferentially around the nipple. Measurements in the office would help determine whether a areola reduction was necessary or with liposuction and subareolar excision the areola would contract to the right size. Please see a board certified plastic surgeon to discuss your options and expectations. Average recovery time is 2 -3 weeks. Cost depends on if your insurance covers it or if it is considered cosmetic. If cosmetic then pricing would be between $4000 to $5000. Good luck!

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.

You should seek out a plastic surgeon for this correction.  The puffiness is most likely your breast buds that can not be reduced by exercising.  Once the breast buds are removed the puffiness will be resolved, your areolar size will be decreased, and your areolar will have a subtle browner color.The cost of this depends but should be between $5500-$8500.Thank you for your question.

Yes there is lots of options to correct this problem and my patients have been delighted with the result of surgery. Please see an experienced Plastic Surgeon who has a specialist interest in gynecomastia (male breast enlargement).

Hello Mr. Gordon, Thank you very much for your questions about making nipples smaller in a male.  This is a very common request.  Just to be accurate, the areola is the pigmented, flat tissue around the nipple. The nipple is the projectile part in the center of your areola.  I believe you are requesting a reduction in the pigmented, flat portion around the nipple,  mainly the areola. Plastic surgeons also perform nipple reductions. This would be a reduction in the projection of the nipple.  I believe you have gynecomastia and the underlying male breast tissue has pushed and dilated your nipple areolar complex.  The end result is "puffy nipples".  I would suggest a single, combined surgery.  Your surgery would entail VASER chest liposuction for gynecomastia and male areolar reduction.  First, VASER chest liposuction is performed. A small incision is made in the armpit. Tumescent fluid is injected. Tumescent fluid minimizes pain and blood loss. The chest fat is the melted with the VASER probe.  The melted fat and fluid are then removed with liposuction.  After the VASER chest liposuction is completed, an incision is made around the areola in the desired shape and size you want.  Then, a larger circular incision is placed around the areola.  The intervening area is resected. The skin that is removed is in the shape of a doughnut. The resulting scar just goes around the perimeter of the areola.  The cost for the procedure varies by geographic location. I would suggest you use this website to find the price for such procedure in your neighborhood. If you cannot find a plastic surgery specialist in your neighborhood, I would consider traveling. I would suggest you seek an experienced, board-certified plastic surgeon who is done hundreds of male breast reductions.  The average recovery time is approximately one to two weeks. I hope that I have answered your questions regarding male areola reduction and liposuction for gynecomastia.  If you have any more questions regarding male areola reduction and liposuction for gynecomastia, please contact my office.  Sincerely, Dr. Katzen.