nipple reduction

[l3rl4n]

I am 19 years old and from the New Orleans area and i want a nipple job done. I have "puffy nipples" pretty bad. would it be better for me to hold out and look for a specialty surgeon, or would i be able to find a local, well-respected surgeon? They have a surgeon here in town that is known for doing alot of well done random surgeries. Do you think he would be ok if all i want done is a nipple reduction?

[from_philly]

what do you mean by nipple reduction? I believe that it when part of the nipple is cut off to shorten the tip??  any pictures?  The best thing you can do is look at before and after pics of the surgeon's

[Midwestdude]

What you're describing is the nipple AND areola.

There is a procedure for specific reduction of the male nipples, the actual structure that extends out from the areola.  

I'm scheduled to have that procedure done one week from today.  

[nukem2k5]

I live in the New Orleans area and had my surgery done by Dr. David Metzner.  I cannot stress how great of a surgeon I think he is.  You should call his secretary, Natalie, and schedule a consultation.  He has an office in New Orleans and one in Covington.  I believe he's in Covington on Wednesday's and in New Orleans the rest of the week, but that may have changed due to Katrina.

Feel free to ask me any questions you have about gyne, the surgery, or Dr Metzner.  I have a link to his website as well as my pre-op/post-op pics in my signature.  Btw, I'm 19 also.

[DrBermant]

I am 19 years old and from the New Orleans area and i want a nipple job done. I have "puffy nipples" pretty bad. would it be better for me to hold out and look for a specialty surgeon, or would i be able to find a local, well-respected surgeon? They have a surgeon here in town that is known for doing alot of well done random surgeries. Do you think he would be ok if all i want done is a nipple reduction?

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.

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.  

Hope this helps,

Michael Bermant, MD
Learn More About Gynecomastia and Chest Sculpture