Author Topic: puffy nips questions.  (Read 3863 times)

Offline iviike000

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Well I've had the puffy nipples and large hard disks underneath them since i was in 8th grade and I am now a senior at almost 18. I've had them for like 4 years or so. I'm not over weight, I'm 5'11'' at 135 lbs and 8% body fat. After all the years I'm finially going to a doctor for a consultation around the 31st. Some questions though...
1)If i get the opperation, just glandular removal, how long till its healed enought to go outside shirtless, swim. exercise, stuff like that.
2)what are the chances that after the ssurgery that i can still have the lumps there and large puffy nipples.
3) the small amount of fat thats around my nipples, the stuff that gives it the small cone shape. Will that go away on its own then?
4)will my nipples return to normal or will they all ways be big and puffy? even after the removal?

DrBermant

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Well I've had the puffy nipples and large hard disks underneath them since i was in 8th grade and I am now a senior at almost 18. I've had them for like 4 years or so. I'm not over weight, I'm 5'11'' at 135 lbs and 8% body fat. After all the years I'm finially going to a doctor for a consultation around the 31st. Some questions though...
1)If i get the opperation, just glandular removal, how long till its healed enought to go outside shirtless, swim. exercise, stuff like that.
2)what are the chances that after the ssurgery that i can still have the lumps there and large puffy nipples.
3) the small amount of fat thats around my nipples, the stuff that gives it the small cone shape. Will that go away on its own then?
4)will my nipples return to normal or will they all ways be big and puffy? even after the removal?

Results after surgery depend on the original problem, what was done, the skill of the surgeon, and how you heal.

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 puffy nipples and swelling are phrases 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.  What some call "puffy nipples" can be residual deformity after surgery, swelling from surgery, swelling from injury, swelling from fluid or blood collection, or just the normal firmness of evolving healing tissues.  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


Offline terribull

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I am concerned as well about puffy nipples returning after surgery. I am scheduled for May 2 and am starting to rethink my decision about having it done. I have a mild case, and am told I need excision only. I am starting to wonder if I should wait another year (17) so that my surgery healing wont interfere with my football/wrestling workouts this summer. I hear so much about swelling, bruising, scar tissue, and no real improvement. Does anyone have a successful story involving a case similar to mine?

Offline jc71

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  • Wilma, grab the lotion, we're going to the beach!
seems to me that for some reason puffy nips are more of a challenge for the surgeon than other gyne problems. I wonder why that is? If puffy nips are your problem, it's all the more reason to make sure you go with someone good.  :)


 

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