29 yo bodybuilder who competes - Would gland removal give a more aesthetic chest while decreasing areola size? (photos)

To answer your question, yes your nipples can be made smaller during a gynecomastia procedure. You have a couple options for the chest. You can have the tissue removed/liposuctioned. You could also have pec implants inserted. It’s whatever your preference is. Would love to see you in person here at Smith Plastic Surgery to go over how we can help you achieve the look you desire.

Thanks for your question and the photos you provided. It is difficult to know for sure without examining you in person, but you could have a mall disc of breast tissue beneath the areola. In most cases, simply removing the tissue will allow for contracture of the areola. I would start with this step, and after 3 -6 months if the size of the areola has not gotten as small as you'd hope you can consider areolar reduction. Waiting could allow you less scarring for the stage. Good Luck!

Gland excision will work well for you. It will reduce the bulk behind your areola so they're not as prominent. The areolas will shrink when they're not being stretched by the underlying gland.