I was wondering if anyone had thoughts or experiences related to including nipple reduction as part of a standard excision surgery.
Like many people here, I have historically minimized my anxieties by contracting my nipples. This tightens the skin on my chest, depresses the breast tissue and most important to this thread, shrinks the size of my nipples (and generally in this thread by nipple I actually mean areola).
When trying to invision a healthy idea of what a post surgery chest might look at, it is dawning on me that my nipples might appear larger due to the loss of any curvature they currently have over the breast tissue. My large nipples/areolas have always been a source of anxiety, but I am unable to tease apart how much of my discomfort is due to the breast tissue that is accented by large nipples and how much is due to large nipples themselves. Given that I am going to have a doctor in there anyway, I am wondering what the visual effect of smaller nipples would be.
Does any one have any experience with this? I can't quite seem to invent a picture in my head. I have never seen my chest without the breast tissue but with large (read not contracted) nipples.
Thanks in advance!
"Large or Puffy Nipples" are common public terms for gynecomastia.
The problem is the the term
large 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 "large or 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.
Nipple areola reduction depends on the problem to be solved and surgical technique.
Puffy Nipple Reduction GalleryCheck out the many before after pictures here:
These results are typical for my sculpture of my patients.
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 Chest Sculpture
Topic: Considering Nipple Reduction in Addition to Gyno Surgery (Read 4782 times)
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