Going through puberty - Normal Weight, Chest and yet I have Puffy Nipples, Is it still Gynaecomastia? (photo)

Dear Doctor, I believe that I might have gynaecomastia. It is only my nipples which sometimes seem a little puffy yet my chest (breast) is perfectly fine. Since I am currently at the age of 16, is surgery recommended if my case is gynaecomastia? In addition, if it should go away after a while, how long before it does so? Thanks, Any help is greatly appreciated!

Doctor Answers 6

Gynaecomastia

Thank you for your question. From your description, it sounds like you do indeed have a mild case of gynecomastia. However, due to your age, there is a good possibility it will get better over time. I would be patient and wait until you are 18. If it has not gone away by then, it probably will not. You couold then talk to a Plastic Surgeon. Best wishes 


Columbus Plastic Surgeon
5.0 out of 5 stars 11 reviews

Gynecomastia United Kingdom

If it is not a major issue you can wait .
How should I choose a surgeon?
Choose carefully. The decision is yours. Advice to assist in making your selection.Only a board certified plastic surgeon
1. Experience matters. Choosing a surgeon increases the likelihood that they have seen a case similar to yours in the past. Selecting a surgeon whose practice is focused on gynecomastia exclusively is also an indicator of experience.
2. Results matter. The more before-and-after pictures, the better. Pay attention whether the surgeon is confident enough to show multiple angles of the same patient.
3.Only gynecomastia Reviews matter.
4. Expertise matters. Is your surgeon recognized by the profession as an authority in the field? Have they authored books or medical journal articles regarding your surgery?
Be realistic about your expectations. Also, revision surgery tends to be significantly more difficult than initial surgery.

Mordcai Blau, MD
New York Plastic Surgeon
4.7 out of 5 stars 69 reviews

Gynecomastia - signs and symptoms

Thank you for your question.
It is difficult to determine if you have or not gynecomastia, without a picture or physical exam.
Based on your description, It doesn't seem to be the case. Usually patients with gynecomastia complain of:
1. Tenderness and sensitivity to the nipples.
2. Hardness to the nipples
3. Breast increased size.

Most of the times the symptoms that you complain of, should go away once your body stabilizes the hormonal storm that you are going through.

I would recommend you to go to your pediatrician to make sure everything is within the normal side.

Best luck.

Julio Clavijo-Alvarez, MD, MPH, FACS
Pittsburgh Plastic Surgeon
5.0 out of 5 stars 79 reviews

Teens and Gynecomastia

The male breast is composed of glandular tissue and fatty tissue. An excess in either type of tissue can cause the chest to take on the look of gynecomastia. Gynecomastia can affect men of all different body types. There are different types of #gynecomastia.

Particularly, Normal Gynecomastia is usually apparent in males between the ages of 12 to 15 years old. It is also common for older men 65 years old or more who experience a drop in their testosterone levels. #Normal Gynecomastia takes approximately one to two years to naturally regress on its own.

Adolescent Gynecomastia is hereditary and usually appears in 30% to 60% of boys between the ages of nine to fourteen. Many cases of adolescent gynecomastia resolve on its own as the boy grows into adulthood. Some with #Adolescent may choose to undergo surgery to correct the situation, this usually happens at the age of 18 or above. In severe cases in young boys, the physician and child development specialists will need to speak to the parents regarding the severity of the gynecomastia and if surgery is an option before the age of 18.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 106 reviews

Going through puberty - Normal Weight, Chest and yet I have Puffy Nipples, Is it still Gynaecomastia?

Good advice would necessitate in person evaluation but if you are dealing with pubertal gynecomastia it often resolves within 1 to 3 years after onset. Adult onset gynecomastia however does not necessarily do so. If persistent, it 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, then liposuction surgery may suffice.  I hope this, and the attached link, helps. Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,460 reviews

Gynecomastia

I don't think anyone can answer your questions with precision but the key issue here is given your age and history, definitely wait. Surgery is definitely an option but not at this time. Might get considerably less noticeable over the next few years

Sherwood Baxt, MD
Paramus Plastic Surgeon
3.8 out of 5 stars 25 reviews

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.