contimplating surgery

[gynonot4me]

Hey everyone,
is it true that there has been recent changes in the procedure/ tools used in order to reduce scarring? also, if the gynocemastia isnt too severe, does that mean there is a better chance of results? I seem to have just puffy nipples that are about 1.5inches wide and stick about an 1inch off my chest and am planning on having surgery. Is the surgery for nipple reduction and gynocemastia pretty much the same if i just have puffy nipples. Any advice would hlep, thanks

[Bobby C]

I seem to have the same issue. One surgeon said to just remove some glandular tissue from under the nipple. Gyno surgeries vary. Some guys need to have liposuction to remove fat from the chest as well. Liposuction takes longer to heal and probably hurts a lot more!

[Dr. Elliot Jacobs]

After many years of doing surgery for gynecomastia, the one thing I am sure of is that no one, including myself, can predict what method or procedure would work best in any individual patient.  Attempts to decide ahead of surgery by how the tissue feels is often misleading.  The surgeon should be prepared and willing to do whatever is necessary in order to get an optimum result.  That means lipo if necessary, excision if necessary, or both if necessary -- and these decisions can be made during the operation.

Really, what counts is the final result -- not the means by which it was reached.  Oh, and by the way, lipo and excision both heal at the same rates -- one does not take longer than the other.

Dr Jacobs

[DrBermant]

Hey everyone,
is it true that there has been recent changes in the procedure/ tools used in order to reduce scarring? also, if the gynocemastia isnt too severe, does that mean there is a better chance of results? I seem to have just puffy nipples that are about 1.5inches wide and stick about an 1inch off my chest and am planning on having surgery. Is the surgery for nipple reduction and gynocemastia pretty much the same if i just have puffy nipples. Any advice would hlep, thanks

After Surgery Scar Care can help with the evolution of tissues after surgery.

"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 Male Breast Reduction Surgery