Question - Puffy nipples

[Confuzzled]

hi , i have a question , does having puffy nipples necasaraly meen you have gyne because i have puffy nipples but i dont have man boobs at all rely just a bit of muscle

[DrBermant]

hi , i have a question , does having puffy nipples necasaraly meen you have gyne because i have puffy nipples but i dont have man boobs at all rely just a bit of muscle

Gyne or gynecomastia is a female like contour on the male chest and can take many forms.

It does not take much fat or gland to disturb the cut look for the male chest, especially a body builder with very little fat.  Possible treatement depends on the the deformity.  Surgery will not prevent tissue from growing back.

The problem is the the term 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.  

The degree of swelling, what to expect from surgery, the nature of the scars, how the chest will look really depend on the problem to be treated, surgical techniques, the skill of the surgeon, and how you heal.  Such issues are really best explored with your surgeon.

Hope this helps,

Michael Bermant, MD
Learn More About Gynecomastia and Chest Sculpture