Hey I'm Steve. I've had this problem every since i was in 8th grade, im going into 11th grade now..I still have it. I'm so embarest to take my shirt off...I am really skinny, i only weigh 130 pounds, and it's only my nipples that are big, not the whole breast its-self....sned feedback. thanks.
You are not alone. Many patients have told me about their emotions and stress of living with gynecomastia.
Here is a 13 minute movie / audio clip of one patient's concerns about dealing with his breasts and the relief from surgery.
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
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