How can I treat my puffy nipples?

Question

I have a question sometimes i have puffy nipples and sometimes when i take my shirt off or when i am in shower then they are normal. When i wear shirt they are again pufy nipples, most often i wear tight t shirts and it looks like i have small [RS bleep] thats why i wanna get rid of them. But first can u tell me why is that? How can i treat them? I would be grateful if you would respond

Jed H. Horowitz, MD, FACS · Answer

According to official statistics, 36% of adult young men and 57% of older #adult men in the United States have this medical condition in one of the four grades. About 200,000 to 3 million cases of #gynecomastia are being reported every single year. So if you have #breast #enlargement and you feel you're an exception, please understand that 1 in 3 young adult #men and 1 in 2 older adult men are just like you and have breast enlargement. "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.

Tom J. Pousti, MD · Answer

Thank you for the question. I would suggest that you seek consultation with your primary care physician and/or  board-certified plastic surgeons. Physical examination will be key when it comes providing you with an accurate diagnosis. Based on your description, it is possible that you are dealing with gynecomastia. "Gynecomastia" comes from the Greek meaning "gyne" meaning woman and  "mastos"  meaning breasts.  It refers to abnormal development of large mammary glands in males. Although there may be many “causes”, most cases are idiopathic (no specific cause). The use of certain medications, drugs, organ dysfunction (kidney or liver), hormonal imbalances etc. may also be causative.  Persistence gynecomastia is often best treated with  partial excision of the prominent glandular tissue  as well as liposuction surgery of the peripheral chest area.  If the prominence of the chest wall is caused by adipose tissue liposuction  surgery may suffice. If/when the time  comes for surgical intervention, please make sure that you seek consultation with board certified plastic surgeons who can demonstrate significant experience achieving the types of outcomes you would be pleased with.You may find the attached link, dedicated to gynecomastia concerns, helpful to you as you learn more. Best wishes.

How can I treat my puffy nipples?

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How can I treat my puffy nipples?

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