Hi, i have "puffy niples" and i can defintly feel a disc of gland under my nipple, my question is, when u have surgery (Assuming a combination of incision and liposuction) does that "lump" under the nipple get totally removed??? How does this change the puffy nipple - does the nipple become flat and "normal" after the gland underneath gets removed??? Like a lot of guys if i pinch my nipple or am cold, it looks like normal, but in warmth it is all puffy, i really hope surgery could make it look like this all the time!!!
Thanks in advance for any hints/advice!!!
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 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.
I disagree with that. The number of people who have to get multiple surgeries is quite high.
The need for
Revision Gynecomastia Surgery varies depending on the problem to be treated, surgical technique(s), skill of the surgeon, and other factors. I know of only a very few patients of mine who had revision surgery - the number is about one percent (and that includes patients I have not done but found out about).
I think the reason they leave a tiny amount of gland is to prevent 'caving in', as it is actually this small amount in 'normal men's' chests that gives a normal chest.
With my
Dynamic Technique, I target the gland first and leave very little gland behind.
You can evaluate the results of this sculpture in these pages of before / after
Nipple Areola Picture Galleries.
Hope this helps,
Michael Bermant, MD
Learn More About Gynecomastia and Chest Sculpture