How to Get Rid of Puffy Nipples?

hello Doctor please i need help, I'm 20 years old and i have puffy nipples since i was 17, and it is really annoying me, and i really need to get rid of it without a surgery my chest looks fine it's just the nipples area is puffy, i'm wearing double shirt now to hide it, but i can't keep doing this, the weather is really hot and i need to go the beach sometimes. is there any medicine that i can take or anything that i can do without a surgery, because i'm not ready to do a surgery now. Please i need help

Doctor Answers 19

Puffy Nipples / Pure Glandular gynecomastia male breast reduction

 Pure Glandular Gynecomastia (sometimes referred to as 'puffy nipples'): this is an anatomic description of the form of gynecomastia that occurs quite commonly at puberty and in adolescents (described above), although it may occur in young adults and older adults as well. The proliferation of breast tissue is limited primarily to the area immediately behind the nipple and areola, sometimes extending a short distance beyond. This creates a conical or dome-like appearance of the nipple/areola complex. There is no associated expansion of fatty tissue in the surrounding area. In most cases this can be treated by simple excision of the retro-areolar breast tissue through a limited incision at the lower border of the areola. The resulting scar is nicely concealed in most cases by the color and texture difference between areolar skin and chest skin.


Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 113 reviews

How to Get Rid of Puffy Nipples?

Your photos and an examination will help determine that. A comprehensive review of your health and medications is also necessary. Seek a plastic surgeon with specialty training in gynecomastia surgery.

Ron Hazani, MD, FACS
Beverly Hills General Surgeon
4.9 out of 5 stars 255 reviews

Puffy nipples

The treatment of puffy nipples is the removal of the tissue under the areolas. There is no non surgical treatment that works. Diet, exercise, and weight changes will not improve the problem. The procedure can be performed under local anesthesia if it is small enough.

No worries.

Some posible solutions

  • "Puffy Nipple Areola Complex" is among the most common forms ofgynecomastia. 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 a board certified plastic surgeon with experience in male breast surgery is consulted. The surgeon should determine if the patient is a suitable candidate for male breast reduction by liposuction or glandular excision. It is 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.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 94 reviews

Puffy nipples typical require male breast reduction

Many of my patients are thin with minimal fatty tissue in their chest with nipples that show through their clothing.

Most men will say that when their nipples are contracted the appearance of their chest is acceptable.

Male breast reduction surgery treats puffy nipple, gynecomastia, but removing the firm tissue below the nipple.

The surgery is typically very successful.  The incision must be closed very carefully.

Most patients can take 3-5 days off from work. 

Puffy nipples

There is a small chance this will resolve on its own.  Unfortunately, there are no medications that are available to shrink the puffiness.  Surgery is the best option.  It is both safe and effective.  When you are ready, be sure you seek out a board certified plastic surgeon.  More common questions are answered in the attached video.

Tim Neavin, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 30 reviews

Puffy nipples: nonsurgical vs surgical treatment

Gynecomastia (enlargement of the male breast) may be localized or diffuse. Localized gynecomastia occurs when there is excessive breast tissue immediately deep to the nipple areola, causing a puffy appearance. Diffuse gynecomastia occurs when there is widespread breast tissue, causing the entire breast to look enlarged. The less-than-technical term for this is "man boobs."

Most cases of gynecomastia are idiopathic (a fancy medical term for "we have no idea why you have that condition").  Occasionally gynecomastia may be related to hormone imbalances (excessive estrogen, reduced testosterone) or use of certain drugs (anabolic steroids, marijuana).  If there is an identifiable medical cause, then non-surgical treatment may result in some improvement.  Unfortunately, this doesn't happen very often.

Puffy nipples (actually excess tissue beneath the nipple areolae) are more commonly treated by male breast reduction surgery. This requires a small incision along the lower 30% of the areolar border (border between pigmented and non-pigmented skin), typically resulting in a fine line and well-camouflaged scar. Through this incision, excess breast tissue is removed, resulting in a flatter nipple areola. Nipple-areolar diameter is frequently reduced, as the skin contracts after surgery.

Following surgery, you will be on pain medication for about 5 to 7 days. You cannot work out for 4 weeks. You will need to wear a compressive vest for 4 weeks (24/7) and then on a tapering basis for another 4 weeks.

Ronald Friedman, MD
Plano Plastic Surgeon
4.9 out of 5 stars 38 reviews

Treatment of Puffy Nipples

Hi kareem93,

Thank you for your post. The cause of puffy nipples is excess gland tissue underneath the nipple and areola. This is typically not excess fat and so no amount of exercise or supplements can reduce it.  Surgery is the only predictable and effective treatment for puffy nipples. However, you must be ready to undergo surgery, physically, financially, and psychologically. Once you are ready, I recommennd you be evaluated by a plastic surgeon experienced in gynecomastia surgery.


Dr. Dadvand

Babak Dadvand, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 39 reviews

Gynecomastia surgery and liposuction

Puffy nipples and excess breast tissue in men can be controlled and reduced with a technique known as gynecomastia liposuction.  This can help reduce excess glandular tissue. Areolar surgery may also be needed to reduce areolar puffiness.


Dr. Karamanoukian

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 93 reviews

Puffy Nipple Surgery

Puffy nipples can be reduced by removing extra breast tissue directly below the areola and nipple. It is oftne done under local anesthesia as an office procedure.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.