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 39

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
5.0 out of 5 stars 92 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
Los Angeles Plastic Surgeon
5.0 out of 5 stars 213 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 57 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
5.0 out of 5 stars 22 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
5.0 out of 5 stars 26 reviews

Male breast reduction

Hola Dan, there are several solutions for your concern.

medical treatment and surgical. 

the prices varies form doctor to doctor, you must choose a board certificated plastic surgeon. 

the recovery time for this procedure is about a month. 

Eduardo Mejia, MD
Dominican Republic Plastic Surgeon
5.0 out of 5 stars 10 reviews

Surgery for puffy nipples

Gynecomastia (enlargement of the male breast) may be localized or diffuse.  Localized gynecomastia occurs when there is excessive breast tissue immediately deep to the nipple areola, causing a puffy appearance.  Diffuse gynecomastia occurs when there is widespread breast tissue, causing the entire breast to look enlarged.  The less-than-technical term for this is "man boobs."
Puffy nipples (actually excess tissue beneath the nipple areolae) are typically treated by male breast reduction surgery.  This requires a small incision along the lower 30% of the areolar border (border between pigmented and non-pigmented skin), typically resulting in a fine line and well-camouflaged scar.  Through this incision, excess breast tissue is removed, resulting in a flatter nipple areola.  Nipple-areolar diameter is frequently reduced, as the skin contracts after surgery.
Following surgery, you will be on pain medication for about 5 to 7 days.  You cannot work out for 4 weeks.  You will need to wear a compressive vest for 4 weeks (24/7) and then on a tapering basis for another 4 weeks.

Ronald Friedman, MD
Plano Plastic Surgeon
5.0 out of 5 stars 33 reviews


You appear to have gynecomastia which results in areolar enlargement. Having the breast tissue removed will allow the areola to reduce in size. Occasionally the areola will require a reduction by removing skin tissue.

Puffy Nipples

Hi Dan,

Thank you for your post. Based on your description it sounds like you have physiologic gynecomastia. It is not uncommon for boys going through puberty to get some form of breast enlargement. However, in a large majority of them it resolves in 2 years. Obviously you are well past that time frame and yours likely requires surgery to correct. I recommend seeing a board-certified plastic surgeon who specializes in gynecomastia surgery. The average time to go back to work is 3-7 days, and in my practice I allow patients to resume exercise between 4-6 weeks based on what surgery was performed.


Dr. Dadvand

Babak Dadvand, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 29 reviews

Gynecomastia surgeon

Areolar protuberance can be corrected with some liposuction +/- a periareolar excision of excess areolar tissue. 

Dr. Karamanoukian 

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 83 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.