Is there a difference between gynecomastia and puffy nipples?

[Diesel]

I dont really have a lot of chest fat, just puffy nipples. When Im cold, or theyre pinched/contacted and go hard, I look "normal".

I'm new, and lost to how extracting tissue/the gland will change the puffy-ness and make it hard. I can see how your pecs would change shape with less tissue, thats straight forward - but wheres the connection with the nipple?

[Mr_Nip]

Excessive gland present with gyne can push against the back of the nipple and push it out.  Sometimes it just puffs out the nipple, and sometimes it puffs out the entire areola making it look huge. 

That's why cold water or other stimulation can make them look more normal.  The areola contracts and pushes the gland back in, making the nipple/areola look more flat and normal.  Of course, when the stimulation is gone and the areola relaxes, the gland pushes back out and the puffiness reappears.  Ask me how I know.   

[Diesel]

Fair enough, puffy nips seem to be easier to cure than enlarged breasts then?

When I'm cold, im fine. People stare at my abs instead 

[DrBermant]

I dont really have a lot of chest fat, just puffy nipples. When Im cold, or theyre pinched/contacted and go hard, I look "normal".

I'm new, and lost to how extracting tissue/the gland will change the puffy-ness and make it hard. I can see how your pecs would change shape with less tissue, thats straight forward - but wheres the connection with the nipple?

"Puffy Nipples" is a common public term for gynecomastia. 

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.  This Gynecomastia Picture Gallery of Puffy Nipples begins to show some of the various problems patients have called "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.

Options for treatment revision surgery for "puffy nipples" depend on the problem to be sculpted.

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 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