Booked surgery for 14th jan, got some Qs

[cky2k]

Hi all, My names Chase, ive had gyne for about 4 years now. im 20. 6ft and 170 p. Getting surgery done soon and there just a few questions id ask you guys since most of you have been through it,, Im getting excision done. i do have very puffy nipples and huge glands, whats the recovery time for this procedure? and also is it guaranteed the puffy nipples will go away with surgery? is it the gland that makes them puffy? Is there any chance of gyne coming back.. i havent been to see a endro or anthing, just booked myself in and had a consultation...

thanks

[DrBermant]

Hi all, My names Chase, ive had gyne for about 4 years now. im 20. 6ft and 170 p. Getting surgery done soon and there just a few questions id ask you guys since most of you have been through it,, Im getting excision done. i do have very puffy nipples and huge glands, whats the recovery time for this procedure? and also is it guaranteed the puffy nipples will go away with surgery? is it the gland that makes them puffy? Is there any chance of gyne coming back.. i havent been to see a endro or anthing, just booked myself in and had a consultation...

thanks

Recovery after surgery and success of the operation depend on the original problem, skill of your surgeon, how you heal, and many other factors.  I have done many revision surgeries on patients done elsewhere with residual puffy nipples.

"Puffy Nipples" is a common public term for gynecomastia. 

The problem is the the term puffy nipples is a phrase that mean so many different things to so many different people.  Words just do not convey the actual problem very well - images do a little better, but still are not the same as an actual in office evaluation with your doctor.  This Gynecomastia Picture Gallery of Puffy Nipples begins to show some of the various problems patients have called "puffy."

Putting up pictures (using standard views before and after surgery) is one way to discuss what the problem was before surgery and what has happened.   Options depend on what is really going on.

Let us try to look what I mean by the problem of the words only descriptions.  "Large nips", "puffy nipples," "puffed nipples,"  and "puffy nips" are a common terms many give to a problem that extends to the region about the areola.   The nipple is actually the central raised structure inside the pigmented areola.

"Puffed nipples" can be a problem for some that involves long nipples above the areola where nipple reduction alone helps.

"Puffy Nipps" can be a problem behind the areola that can take many forms.  The deformity is usually a varying combination of fat and gland.  The gland can be firm or soft, spread through fat, or be a condensed mass.  There is a thin muscle under the areola skin that can flatten tissue when stimulated. Unfortunately it is impractical to keep stimulating these muscles.

In many of these patients with "puffy nipples," there was no firm tissue under the areola, just fat and soft gland.  Here is one example of puffy nipples in a muscular male.  Here is another example of   puffed nipples.  Here is another patient with puffy nipple gynecomastia.

"Puffy Nipples" can also be a combination of gynecomastia and big nipples.

I prefer my Dynamic Technique that adapts to the problem found during surgery to minimize such issues as residual deformity after surgery.

Hope this helps,

Michael Bermant, MD
Learn More About Gynecomastia and Chest Sculpture