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 ultimately, a hill is a hill is a hill, no matter if it is made of rock, sand, garbage, clay or fatty tissue. It is what it is.
Puffy nipples are often associated with gynecomastia and excess tissue of the chest. They are frequently merely the “tip of the iceberg,” as there is always underlying gynecomastia tissue. This excess tissue not only makes the chest protrude, it is also associated with glandular material under the areolas. Glandular tissue is “ground zero” for gynecomastia, from which it all spreads.
Patients with gynecomastia often have puffy nipples because the firmer glandular tissue stretches out the areolas like air in a balloon. Remove the tissue and the areola will flatten. Failure to remove the tissue in the case of puffy nipples will only result in continued puffy nipples and disappointment. To see the results of liposuction and Vaser treatment of gynecomastia, check out my video showing many cases of gynecomastia surgery in a row. This is the tissue that makes puffy nipples. Leave the tissue and leave the issue of puffy nipples. Treatment of gynecomastia with liposuction alone will leave this tissue present in 95% of cases. This is NOT what you want.
Puffy nipples can remain after treatment of gynecomastia if your 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.
The least common presentation of puffy nipples is the “golf ball” gynecomastia. Some patients have golf ball sized glandular masses beneath their areolas that results 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 and not looking like you have headlights. Impossible.
The best news in the world is that puffy nipples are treatable – here today, gone tomorrow, if you choose. Take the first step to a life without gynecomastia and submit a Virtual Consultation. Then, I will tell you what I think and provide you with a solution that will set your life on a new, better course. But the first step is yours to take.