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

There are many methods and types of incisions which can correct gynecomastia. I perform the operation through a lower smile-type incision along the lower border of the areola. The incision required to reduce the size of the nipple would entail a different incision onto the nipple itself. Removing the protuberant glandular tissue involves contouring the fat and cutting and separating the glandular tissue from its surrounding attachments so that it can be removed. This lead to a decrease in the blood supply to the skin of the nipple so a second separate incision to reduce the nipple may lead to nipple ischemia and other complications. However, depending on the size of the nipple to begin with, in many cases, when gynecomastia correction surgery is performed, the areolar size and the nipple projection is secondarily reduced. Because of this, I would have the gynecomastia surgery performed first as you might find that your nipple projection corrects itself without needing a second operation. Because of the high variability in nipple size, shape and morphology as well as areolar diameter, its difficult to give an exact number for projection. In women, a projection of around 1 cm is considered normal so I would consider anything from flush with the chest to around 0.5 cm of projection as within normal variation. Schedule a consultation with a board certified plastic surgeon who is experienced in this type of surgery and make sure you voice all your concerns. Good Luck!

Nipple reduction is distinctly different than correction of gynecomastia. Gynecomastia is the abnormal enlargement of male breasts. It is usually fixed using a variety of different incisions depending on the size of the breast and the looseness of the skin. These incisions can be located on the side of the chest or on the border of the areola. The nipple is the small projection in the center. In women it functions to allow a baby to suckle from the breast. Correction to reduce over projecting nipples is done right at the nipple and is not related to any of the breast tissue although it can safely be done at the same time as gynecomastia surgery.. Finally, the areola is the darker pigmented skin around the nipple. This skin can be reduced and can be combined with removal of the breast tissue. For the best advise you should see a an experienced gynecomastia surgeon. Good luck.

Usually gynecomastia is treated with a comination of liposuction and gland removal,  by elimination of the gland,  the areola will reduce in size since the tissue which was expanding the areola is removed.  But if the areola is extremely large,  there are multiple ways to do the reduction in size, it is possible to do at the same time as the gland removal and liposuction. Hope this helps.

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.  

Thank you for your question. The trans-nipple incision is best solution in such type of cases who want nipple reduction with gyencomastia correction surgery as this method utilizes same incision for both things. If you want to reduce the size of nipple (through same incision) then a trans-nipple correction of gynecomastia is best option for you. I hope this helps you. All the best.

Gynecomastia and nipple reduction are two totally different surgeries although they can be performed safely at the same time. Gynecomastia surgery will remove excess fat and glandular tissue, if needed. This will reduce the size of the nipple as there won't be as tissue pushing on it. Whether or not this will correct your problem is impossible to say without examining you in person. A nipple reduction literally reduces the size of the areola. Hope this helps --

It would absolutely be recommended to have both the male breast reduction and nipple reduction done at the same time. Naturally the complexity increases some, however when performed by a true gynecomastia expert, it is not something that should deter you from having both done. In terms of how much nipple projection there should be.. This is really a question for you to answer since it is subjective. Cost varies region to region, surgeon to surgeon, but generally speaking the cost should not significantly increased with nipple reduction.

Gynecomastia surgery can entail reducing the overall volume, removing skin, and reducing the areola/nipple. 

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.

Hello and thank you for your excellent question. In general, yes, it is possible to both excise gynecomastia tissue and reduce the nipple and areolae at the same time. You will need an in-person consultation to evaluate you for these procedures. Preoperative visualization and surgical simulation with the Crisalix system may help with your decision. Any treatment plan should be based on a detailed discussion with equal input from both you and your surgeon.    Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.   The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation in person with a qualified board-certified plastic surgeon. Good luck! 


Best,
Jon Ver Halen, MD FACS 

Harvard educated plastic surgeon