Can gynecomastia and nipple reduction be done at the same time with the same incision site?

Thank you for sharing your excellent question.  A nipple reduction can be safely performed at the same time as gynecomastia correction.  The gynecomastia surgery will often help reduce the prominence of a male's areola, while also reducing its size.  This should be performed before reducing the projection of the nipple to avoid overcorrection.  The size of the nipple is based on patient preference and will incur an additional cost.  Hope this helps.  

I utilize different incisions to perform the two operations.  In most cases, if there is doubt about whether or not to proceed with nipple reduction surgery, I would suggest proceeding with correction of gynecomastia first.   Correction of the gynecomastia may serve to eliminate your concerns regarding chest wall appearance (you may no longer feel the necessity to proceed with nipple reduction surgery). Most patients with gynecomastia benefit from direct excision of glandular tissue plus/minus peripheral liposuction surgery.  I use an infra areolar incision for most patients.
Nipple reduction for men is a great procedure to treat prominent nipples. I do this procedure by removing a segment of nipple and covering the area with a superiorly based flap. The degree of flattening (most men want the result to be  almost flush with the areola)  can be tailored to the patient's requests. This procedure is usually done under local anesthesia and requires no time off from most types of work. Patient satisfaction was a high and scars are often not noticeable. Ultimately, careful selection of plastic surgeon and careful communication of your concerns will be key. You may find the attached link (dedicated to gynecomastia correction surgery), helpful to you. You will find a separate page, on the same website, dedicated to the nipple surgery concerns. Best wishes.