How are Puffy Nipples and Gynecomastia Related?

Causes and Treatment of Puffy Nipples in Men

puffy nipples and gynecomastia

The definition of gynecomastia – also known as puffy nipples, gyno, or man boobs — is not based on any particular type of tissue on your chest. It is most simply defined as “the appearance of a female-like breast in a male.” You don’t have to have hard tissue or lumpy rocks that you can feel under your areolas. If your chest is rounded and prominent like a woman’s, you most certainly have gynecomastia. It is caused by excess tissue of various types, but a hill is a hill is a hill no matter if it’s made of rock, sand, garbage, clay, or fatty tissue. It is what it is.

For men, puffy nipples are associated with gynecomastia and excess tissue of the chest. Gyno nipples are frequently only the “tip of the iceberg,” as there is always underlying gynecomastia tissue. This excess tissue makes the chest protrude and is associated with glandular material under the areolas. For gynecomastia, this glandular tissue is “ground zero” from which everything spreads.

What Causes Puffy Nipples in Men?

causes of puffy nipples before and after gynecomastia surgery

The original causes of puffy nipple problems are the same as gynecomastia. Hormone changes trigger the development of breast-like glandular tissue in a man’s chest. This happens naturally to most males during puberty and generally goes away on its own. Unfortunately for many, sometimes it just gets worse. Hormone imbalances, sometimes from extra weight or taking supplements, can also cause gyno to appear.

As for gyno nipples, they are a visible byproduct of gynecomastia. The firm glandular tissue stretches out the areolas like air in a balloon. While puffy nipples aren’t the only problem involved with gyno, they are certainly one of the most obvious. It’s hard to feel masculine when you’re trying to hide puffy nipples.

What Is Golf Ball GynecomastiaWatch


The most common presentation of puffy nipples is the “golf ball” gynecomastia. Some patients have golf ball-sized glandular masses beneath their areolas that result in an odd and tubular appearance. Often these patients have little body fat, so the puffy nipples look even stranger in contrast. Try wearing a fitted shirt with “golf ball” gyno and not looking like you have headlights. Impossible.

The Importance of Expert Gyno Treatment

If you receive gynecomastia treatment from an expert gyno surgeon, they will remove the glandular tissue, causing the areola to flatten. But failure to remove the tissue will only result in disappointment. If any tissue is left behind, the issue of puffy nipples will remain or return. That’s why treatment of gynecomastia with liposuction alone will fail: lipo leaves this tissue present in 95% of cases. This is NOT what you want. To see the results of liposuction and Vaser treatment of gynecomastia, check out my video showing multiple cases of gynecomastia surgery in a row.

How To Get Rid Of Chest Fat - Before and After GynecomastiaWatch


puffy nipples are the tip of the iceberg for gynecomastia

On the other hand, puffy nipples after gynecomastia surgery are a condition that happens if a surgeon leaves too much tissue under the areola, if you develop a seroma in the weeks following gynecomastia treatment, or if you develop scar tissue months afterward. Secondary treatment of gynecomastia is most often related to the incomplete removal of the tissue resulting in continued fullness of the chest and puffy nipples — definitely not the result that patients want. I have helped many patients who received inferior treatment from other surgeons find the results they deserve.

Say Goodbye to Puffy Nipples

The best news in the world is that puffy nipples are treatable — here today, gone tomorrow — if you choose. Take the first step to life without gynecomastia and send in an Online Consultation. Once completed, I will provide professional advice and offer a solution that will set your life on a new, better course. The first step is yours to take.

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