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Puffy Nipple

Puffy Nipples are a very common type of gynecomastia Dr. Cruise sees in Los Angeles, Beverly Hills, Palm Springs, and Orange County. Puffy nipples differ from Classic Gynecomastia in that the nipple and areola are cone-shaped, causing the areola to protrude and appear “puffy.” With an ideal chest, the areola lays flat with the surrounding chest skin. When “puffy nipples” are present, the areola projects outward. Many men complain that their protruding nipples become worse in warm and hot temperatures. Oftentimes, men are unable to wear light-colored or thin shirts because the puffy nipples show through, causing them embarrassment and humiliation.

Most of the patients Dr. Cruise sees with puffy nipples are thin and fit. Men with puffy nipples and other symptoms of gynecomastia tend to become very frustrated because no amount of diet and exercise can improve or resolve the issue.

Ideal Chest
Puffy Nipple

What causes Puffy Nipples in Men?

Puffy nipples in men are caused by excess breast tissue underneath the nipple and areola. This breast tissue pushes the nipple outward, making it overly visible, especially in thin shirts. It also pushes the areola outward, causing it to no longer be flush with the surrounding skin, creating a “puffy” appearance. Again, this is usually exaggerated in warm and hot weather. 

How to Treat Puffy Nipples

Unlike Classic Gynecomastia, puffy nipples typically do not have a fatty component. When excess breast tissue alone is the problem, liposuction is not an option because it can only remove fatty tissue.

Ideal Chest
Puffy Nipple

Puffy nipples in men are caused by excess breast tissue underneath the nipple and areola. This breast tissue pushes the nipple outward, making it overly visible, especially in thin shirts. It also pushes the areola outward, causing it to no longer be flush with the surrounding skin, creating a “puffy” appearance. Again, this is usually exaggerated in warm and hot weather. 

Puffy Nipple – Profile view
Puffy Nipple – Front view

If you take a look at the picture above, you will notice how the chest does not round out as much as it does with classic gynecomastia. The chest fold maintains a relatively horizontal orientation. The minimal rounding you see is from excess fat and/or breast tissue along the bottom and sides of the chest. Again, this is minor in comparison to other types of gynecomastia.

Puffy Nipple – Cut out view

The cut-out view above shows the puffy nipple takes on a cone shape appearance. There is also a lack of fat, which is why the chest doesn’t round out like it does with Classic Gynecomastia. If fat alone was removed with liposuction, the nipple will become even more cone shaped. This is why breast tissue must also be removed, so the area can begin to take on a flush appearance with the surrounding skin.

Frequently Asked Questions about Puffy Nipples