Is fat loss or surgery the best way to correct puffy nipples? (Photos)

Thanks for your photos. Based on them you will need an excess breast tissue removing procedure combined with liposuction. Please consult with a board certified plastic surgeon. All the best...

Thank you for the question and pictures. Accurate diagnosis would necessitate physical examination. It IS important to differentiate  as uncomfortable as gynecomastia ( excess breast tissue) from lipomastia ( otherwise known as pseudo-gynecomastia or excess adipose tissue of chest wall). Treatment will differ depending on diagnosis. 









Generally speaking, liposuction surgery alone is useful to treat lipomastia (an enlarged chest secondary to adipose tissue); rarely does it suffices as the only modality of treatment when it comes to treating true gynecomastia. Most patients with gynecomastia benefit from direct excision of glandular tissue plus/minus peripheral liposuction surgery.















My best suggestion: if your concerns persists once you have reached your wight goals, seek consultation with board-certified plastic surgeons who can demonstrate significant experience achieving the types of outcomes you will be pleased with. You may find the attached link helpful to you as you learn more. Best wishes.

Thank you for your question and photographs. Though some degree of nipple/areola change is common with temperature and emotional states it appears that you may have some degree of gynecomastia or pseudogynecomastia.  Treatment may involve liposuction, glandular removal, or a combination of both and the best option can be discussed after an in-person examination of your chest. Be sure to see an ASPS board certified plastic surgeon in consultation.