Thinking about surgery, here are my pics tell me what you think

[Bballguy123123]

Im almost 19 and ive had these since i was 13.  Im 6'4 weigh 210 lbs and consider myself in pretty good shape

http://img211.imageshack.us/my.php?image=picture008ou9.jpg

http://img211.imageshack.us/my.php?image=picture009kd4.jpg

http://img68.imageshack.us/my.php?image=picture010jk5.jpg

[Grandpa Bambu]

You've got Puffies for sure there dude....

Hey, if they bother you, surgery is the way to a happier you! 

And yet another sufferer 6'+... Most G guys are 6'+...  interesting huh?

GB

[Dr. Elliot Jacobs]

Although the photos are not great, it does appear that you are slender (BMI 25.3) and do have puffy nipples, which is indicative of excess breast tissue immediately below the areolas.  Assuming this condition has been stable for a few years or more, you would probably benefit by having surgery.

Dr Jacobs

[Bballguy123123]

got a couple of new pics, sorry the quality is low on all of these, im using my lap tops camera

http://img354.imageshack.us/my.php?image=picture001dd9.jpg

http://img116.imageshack.us/my.php?image=picture002zr3.jpg

http://img354.imageshack.us/my.php?image=picture003um9.jpg

[George Pope, M.D.]

This appears to be a case of glandular tissue sitting behind a nipple/areola.  The tissue does two things: it pushed the nipple/areola out, and to a lesser degree stretches the skin, causing the diameter of the areola to expand.  In most cases of gland excision, you see a decrease in diameter of the areola.

Regarding steroid injection, it is effective in thinning out dermal (skin) tissue, and that is why it's sometimes effective in making thick scars flatter.  But there can be adverse effects of even local steroid injection.  It's pretty common with repeated steroid injections to see neovascularization, or development of new superficial blood vessels in the skin surrounding the scar.  So that creates another problem that has to be dealt with.

Dr. Pope, M.D.

[Dr. Elliot Jacobs]

The photos are still of poor quality but they do seem to show a larger diameter areola with a puffy, or dome-like quality.  This is indicative of excessive breast tissue beneath the areola.  Note I said excessive -- because all men, even men with no gyne, normally have breast tissue directly beneath the areola.  The difference is in the excess amount of breast tissue.

When surgery is performed, it is directed to removing the excess tissue while leaving sufficient breast tissue (a thin layer is usually enough) to prevent collapse of the areeola (the "crater" deformity).  The result is usually a smaller diameter areola which lies flat and flush with the surrounding skin.

Re steroids:  these are powerful drugs and must be used properly.  When excess scar tissue results after surgery, steroid injections are helpful to reduce the thickness of the scar tissue.  But they must be used carefully because if overused, they can result in atrophy
(excessive thinning) of the tissues, loss of pigmentation and new, small blood vessels which become visible on the skin.  Most plastic surgeons are quite conversant with the use of these injections.

Dr Jacobs