Puffy Nipples After Gynecomastia Surgery

What Do You Do If You Have Puffy Nipples After Gyno Surgery?

We know that puffy nipples are related to gynecomastia and that the only treatment is gynecomastia surgery involving the removal of the tissue and the contouring of the chest so the result is smooth and masculine with small and flat areolas. Unfortunately, some men continue to have puffy nipples after gynecomastia surgery. Why does this happen? What does it mean and what can you do about it?

a patient with puffy nipples - a sign that the man has gynecomastia

When people talk about male nipples that look puffy, they are often referring to the prominent nipple-areola complexes associated with gynecomastia. Glandular tissue originates below the nipple and grows unusually large because of a suspected imbalance in the sex hormones testosterone and estrogen. Gynecomastia is the formation of breast tissue below the male chest that makes it appear more like a female-like breast. This isn’t cool because women are supposed to have breasts and not guys.  It’s embarrassing, and it saps your confidence.

What Causes Puffy Nipples After Gynecomastia Treatment?

The cause of continued puffy nipples after gyno surgery is the incomplete removal of gynecomastia tissue. It is essential to remove ALL of it so nothing is left that can cause puffy nipples after surgery or even a recurrence of the condition. It has been my experience that recurrence of the condition after complete removal is extremely rare. In fact, the most common cause of recurrence is that it was not totally removed at treatment. After surgery with incomplete removal, things may appear better because it’s smaller but once the swelling subsides over the coming months the problem reappears to some degree. This is disappointing, to say the least. 

infographic showing causes of puffy nipples after gynecomastia surgery

“It is entirely possible to remove ALL gynecomastia tissue so there is no depression or donut deformity of the areolas after treatment.”

In fact, many plastic surgeons still believe in the old doctrine that it is important to leave gynecomastia tissue under the areolas so there is no depression or contour donut type deformity. This simply is no longer true as I have learned after performing thousands of surgeries at the Austin Gynecomastia Center. It is entirely possible to remove ALL gynecomastia tissue so there is no depression or donut deformity of the areolas after treatment. The key to this success lies in the use of my internal flap technique that moves normal tissue under the nipple-areola complexes.

If you continue to have puffy nipples after surgery, it is likely to be residual tissue that was not removed immediately beneath the areolas. Less commonly, fullness may occur as a result of scarring that may develop under the areolas. Either way, the problem can be managed with additional appropriate treatment to remove all the tissue so you can truly be free from this terrible condition.  

How to Avoid Puffy Nipples after Gyno Surgery

To give yourself the best opportunity to be satisfied with your surgery, take the time to find a surgeon experienced in treating your condition. It’s always worth traveling to work with an expert surgeon. You want a doctor who has successfully helped as many gynecomastia patients as possible.

I have personally helped thousands of patients who struggled with gynecomastia find a life-changing solution. My experience has led to the development of stronger techniques and superior results. If you’re still seeking the right surgeon, contact me for a free online consultation.

Robert Caridi, MD
Diplomate of the American Board of Plastic Surgery
Fellow of the American College of Surgeons (FACS)
Member of the American Society of Plastic Surgeons (ASPS)
Member of the American Society for Aesthetic Plastic Surgery
Founder of the Austin Gynecomastia Center