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What You Should Know About Gynecomastia: Type 1

June 24, 2021

Most men with enlarged breast tissue may be unaware there are actually six different types of gynecomastia as defined by gynecomastia specialist, Dr. Joseph Cruise in Newport Beach, CA. This classification system ranges from the mildest to most severe. Here, we will discuss type 1 gynecomastia, including some notable characteristics, causes, and treatment options.

What is Type 1 Gynecomastia?

Type 1 Gynecomastia is also referred to as “puffy nipple” gynecomastia. If you have this type of gynecomastia, you will have enlarged, puffy-looking nipples and areolas while the skin remains tight and muscle definition throughout the rest of the chest is still visible with no excess breast tissue extending beyond the nipple area. The nipples and areolas will often appear shiny and bulging or over-projecting. Tenderness or discomfort may be present as well. It is also common for puffy nipples to look worse with hotter weather, stress, and certain clothing rubbing against the area. 

What Causes Type 1 Gynecomastia?

A majority of patients who have type 1 gynecomastia are young and otherwise fit and at a stable, healthy weight. Hormonal imbalance or genetic factors are the most likely causes for Type 1 gynecomastia. This type of gynecomastia is most likely to affect young men between the ages of 13-25 or bodybuilders who can face fluctuations and imbalances in their hormones. In Type 1 gynecomastia, the appearance of puffy nipples is caused by excess breast tissue localized directly below the nipple and areola areas.

How is Type 1 Gynecomastia Treated?

Like other types of gynecomastia, Type 1 gynecomastia is best treated with surgical removal of the excess tissue. Type 1 is  treated with minimal incisions compared to other types. It requires a small, crescent-shaped incision on the lower part of the areola. Through this incision, the excess tissue is removed, and the areola tightened to create a flat, smooth appearance.  

Schedule a Consultation

The best way to reach an understanding of the type of gynecomastia you face and the best treatment option is to have a thorough consultation with Dr. Cruise. The classification system for different types of gynecomastia was developed by Dr. Cruise, meaning that he has a thorough understanding of the best treatment for each patient depending on the specific symptoms they face. To schedule a consultation with Dr. Cruise in Newport Beach, call our office at (949) 644-4808 or contact us online. Out-of-town patients can also complete a virtual consultation process by submitting photos online for Dr. Cruise to review.  

Plastic Surgeon | Website | + posts

Dr. Joseph Cruise is a board-certified plastic surgeon with over 20 years of experience. Regarded as one of the top gynecomastia surgeons in the world, Dr. Cruise has gynecomastia-specific content that can be found at Dr. Cruise has dedicated his career to cosmetic surgery but has also had extensive training in General Surgery, Hand Surgery, and Microvascular Surgery. Dr. Joseph Cruise is also a member of the Rhinoplasty Society as well as the American Society of Plastic Surgeons.

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