Can liposuction alone permanently fix male puffy nipples?

Question

I am in shape, and probably have around 20% body fat. Since puberty I have always had puffy nipples. I noticed that after bench press my chest looks more masculine and muscular, but if I don't do exercise that day and I grab my own chest, it feels like a young female breast texture in my hand. So I think I have gynaecomastia. A surgeon's agent recommended that I do lypo suction before she even saw my photo. Just wondering if this is a good solution to my problem without removing breast tissues?

Damien Grinsell MBBS, FRACS (Plast) · Answer

Hi. The most common scenario is thst you will need a contouring excision of the glandular part with liposuction festhering at the edges. Regards Damien

Howard Webster, MBBS (Hons), FRACS · Answer

Hi there,Good question.  The answer is that liposuction is most unlikely to be the correct solution. If you're in the normal weight range the most likely anatomy you have is glandular hypertrophy, or true gynaecomastia. The glandular tissue is dense, and not able to be liposuctioned. The most likely best solution is for subnipple glandular hypertrophy is a careful direct excision of the dense tissue using a small incision placed at the nipple edge, and which should become inconspicuous quite quickly.Most often a little fine cannula lipo is helpful at the same time, to feather the edge of the excision into the surrounding normal tissue.  It's important that the breast capsule is disrupted during the excision as well, as it can hold a nipple base preventing it flattening if puffy, even when the gland is removed.This is a simple, day surgery procedure. I suggest you book a consultation with an actual plastic surgeon rather than an agent, in Melbourne. There are many good surgeons experienced in treating this common condition in our city.All the very best,Howard WebsterPlastic Surgeon

Vincent N. Zubowicz, MD · Answer

Gynecomastia is a combination of breast tissue in fatty tissue. If the breast mound is substantially glandular than direct excision may be necessary. This can be determined by physical examination.

Connie Hiers, MD, FACS · Answer

In some men, the excess is mainly fat and can be removed with liposuction. However, if you have actual breast tissue there, it may need to be excised. I would suggest meeting with a board certified plastic surgeon and discussing all your concerns.

John Dean, MD · Answer

Breast tissue is made up of both glandular and fatty tissue.  If your tissue is primarily fatty, then liposuction alone can be helpful to improve your condition.  Most people have enough glandular tissue that some direct excision is also required, in order to get the best possible results.

Sherwood Baxt, MD (retired) · Answer

The term "surgeon's agent" is a little worrisome. Suggest you meet with a real plastic surgeon who does a large number of these and be properly evaluated. It's unusual to be able to treat your type of situation with out removing some portion of the gland. This can be done via a tiny incision inside the armpit with no visible scar on the chest. Good luck with your research.

Can liposuction alone permanently fix male puffy nipples?

Answers (6)

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