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

There is no point of having them separately.  By placing the incisions precisely at the areola's border (dark-light skin junction), we can remove the excess breast tissue that is causing the "puffy-looking" nipple area and at the same time reduce the areola's diameter for a more proportionate result. 

However, it is important to preserve some breast tissue and fat (instead of removing them altogether) to prevent nipple collapse, skin irregularities, and other types of deformity.  Simply put, the real issue is how much is left after surgery, as opposed to how much we should remove. 

Good luck and best wishes. 

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.