How can I make my nipple more visible again? (Photos)

Question

Too much was taken away in a nipple reduction. I made a nipple reduction some months ago and it didn't turn out the way I wanted it to be because now I can almost not see them. I asked the doctor to reduce the puffy nippels but she told me nipple reduction would help... so now I still have puffy nippels, without any nippels.

Robert F. Centeno, MD, FACS · Answer

Thank you for your question.  Sorry to hear about your experience.  The puffy nipples and areolas were caused by mild to moderate gynecomastia.  Usually, in a case like yours, treating the gynecomastia reduces the nipple and areolar size without visible scars.  Thereafter, if further nipple reduction is desired, a more conservative nipple reduction can be performed. Once a complete surgical nipple reduction is performed in men, it is a permanent result.  Injectable fillers or nipple reconstruction will not restore the natural appearance of a male nipple.  These techniques can be used to restore nipple size and contour in women because they are larger.  My only recommendation would be to consider tatooing of a faux nipple.  This will give you the appearance of a normal nipple without the projection that can show through shirts.  The results when performed by an experienced tatoo artist are quite impressive. I hope this helps! Best wishes.

Frank P. Albino, MD · Answer

Is it the loss of projection of your nipple that bothers you? Express this to your plastic surgeon.  He/she may be able to inject filler or some fat to increase nipple projection without causing puffy appearance to the chest/breast tissue. Not everyone is a good candidate for this treatment so please see a Board Certified Plastic Surgeon to evaluate if you may benefit. Good luck!
  
This content is for educational and informational purposes only. It is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare professional.  You should always seek the advice of your physician or healthcare professional for any questions you have about your own medical condition.

Nelson Castillo, MD · Answer

Thank you for sharing your excellent question.  It appears that you had an areolar reduction performed but the best procedure would have been to remove any glandular tissue to avoid the extra scarring and minimize the puffiness that can develop.  Based on your concerns I would reach out to your surgeon so they can provide you with additional, useful information.  Hope this helps.

Giorgio Netri, MBBS · Answer

Thank you for your question and pictures.
Unfortunately during nipple reduction tissue is permanently removed to shorten the nipple( this can be done as part of gynaecomastia procedures or separately as the length of the nipple is a separate issue from puffy areola caused by gland excess).
In your case would be advisable further gynaecomastia surgery to flatten the areola so that short nipple would be more in proportion. If this not enough some nipple reconstruction techniques using local flaps similar to the ones used after breast cancer treatment can be considered.

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