Puffy nipples caused by fat or gland?

[Gynohider]

Some people here who have gyno have a rounded appearance to their chest buy have hard nipples, but since my case involved puffed out nipples with both gland and fat, I was wondering which one of the two primarily causes the nips to "puff out".

[Allan7865]

Gland

[Gynohider]

I'm a pretty skinny guy and I can feel a large amount of gland under the nipple. Does this mean that surgery would be a good option for me?

[DrBermant]

Some people here who have gyno have a rounded appearance to their chest buy have hard nipples, but since my case involved puffed out nipples with both gland and fat, I was wondering which one of the two primarily causes the nips to "puff out".

Gland and/or Fat and/or Skin can cause the problem.

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