Male Puffy Nipples -- Fix Without Full Gyno Surgery?

"Puffy Nipple Areola Complex" is among the most common forms of gynecomastia. This gland and/or adipose tissue accumulation can be located under the areola or can be slightly extended outside the areola, causing the areola to appear dome shaped.This form of #Gynecomastia can be found in all age groups but is more common in young adults.As each case is different, it is vital that you consult with a board certified plastic surgeon who is experienced in male breast surgery. The surgeon should determine if you are a suitable candidate for male breast reduction by liposuction or glandular excision. It is also crucial to have a plastic surgeon who is well-versed in the gynecomastia condition can determine if there is firm breast tissue beneath the areola that is causing the nipples to project (which is often the case), and if so, how much of this glandular tissue can be removed to create a flat appearance.#PuffyNipple surgery generally takes only an hour or two, and the recovery time is short; sometimes less than a week. There is minimal scarring and the success rate is excellent. Therefore, patients who suffer from "Puffy Nipples", and who view it as an unaesthetic and unpleasant condition, may desire surgical intervention to correct the "puffy nipple" condition. Men who suffer from large #areolas may notice that after breast surgery, the skin of the chest muscles will tighten, causing the areolas to tighten and diminish in size. This is a result of the removal of glandular and/or adipose tissue.

   Whether you have puffy nipples or puffy areolae, both can be corrected in a small procedure under local anesthesia.  Kenneth Hughes, MD Los Angeles, CA

Thank you for the question.  If the nipple/areola is the problem then directed excision is helpful or an in office local liposuction could be beneficial.  The first step would be to have a consult and exam with a BC PS.

Dr. ES

If your only manifestation of gynecomatia is puffy nipples, you don't need the full surgery. Puffy male nipple can be fixed by minimal local surgery. Direct excision, through the nipple is very effective. Local anesthesia is the norm. Scars are minimal. It usually involves removing gland just behind the nipple. See photos of similar cases so you know that you and your surgeon are on the same page.

Currently, there is no pill, cream or exercise that can get rid of male breast tissue as safely, and permanently as a surgical chest contouring surgery.
Man Boobs (aka Gynecomastia) affects up to 65% of men! I guess it’s one of those things we don’t talk about but there’s some really easy options to get this taken care of permanently. 
There are typically two types of surgically correctable gynecomastia. The first, is the result of excess fat accumulation in the chest. The second, is more excess breast glandular tissue and less of a fatty component. Oftentimes, it’s a combination of these two and there are some really great options to manage these.
If it’s mainly fat, we have a couple options the first is wide awake flash recovery liposuction which is very well tolerated, doesn’t require going to sleep (but you can if you want to) and the second is a non invasive option like CoolSculpting or CryoLipolysis which is freezing the fat cells.These are both great options for patients which primarily fatty gynecomastia or pseudogynecomastia. 
The other group of patients we typically see, which is the majority, will have some fat but also a rubbery, more firm glandular component which tends to be centralized under the nipple area. For these patients, I like to use the Pull Through Technique along with 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. 
Both of these options lead to 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