Read almost any body building forum and there are threads about problems with "puffy nipples."
Puffy Nipple Gynecomastia, Puffy Nipples, Puffy Nips, Puffed Nipples, Puffed Nips are common nonmedical terms for subtle Gynecomastia.
These phrases are vague and mean many different things to different people. Dr. Bermant has seen many different distortions of the chest that his patients have called "puffy nipples." A disruption of the male chest profile can take many forms. A gently rounded pectoral profile just says male. With so many different possible problems, Dr. Bermant prefers to use his dynamic technique to individualize the management of the many different deformities of puffy nipples.
The best way to understand what someone means by "puffy nipples" is to visualize the problem.
Since Dr. Bermant sees patients from around the world, standardized views, looking at the problem from different angles and dynamically can help.
The nipple is the central projection where ducts transmit milk from female breast glands. The areola is the pigmented region surrounding the nipple. Just under the areola is a thin muscle that, when stimulated tightens the areola and can push the nipple forward. Puffy nipples is a misnomer for a distortion that can involve the nipple, areola, and surrounding regions. Learn more about the Anatomy of Puffy Nipples.

Relaxed areola muscles permit the shape of pointed gland and fat to ruin the pectoral contour. Trying to keep the areola muscle stimulated is just not practical.
Left Picture: Puffy Nipples Before Gynecomastia Surgery
Right Picture: Only 7 days after surgery for puffy nipples.
Please start here to learn about this patient with puffy nipple gynecomastia.
Check out our Gynecomastia Gallery Pictures of Puffy Nipples.

Left Picture:
Puffy Nipples Before Gynecomastia Surgery
Right Picture:
Only 9 Days After Gynecomastia Surgery for Puffy Nipples
Puffy Nipples can be localized fat and gland in a combination of areola and surrounding regions. In the oblique profile view (seen above), the contour often centers around the areola. From the front, highlights above and shadows under the projection mark the contour distortion.
Learn more about this male's surgery for puffy nipples and gynecomastia.
At other times patients complain about puffy nipples when the entire chest contour gently comes to a point at the nipple itself. Left Picture: Puffy Nipples Before Gynecomastia Surgery Right Picture: 6 weeks after surgery to reduce gynecomastia. To learn more about this man's puffy nipples please start here. | ![]() | ![]() |
Sometime puffy nipples have a behind the areola gland and fat component and an external nipple problem.
![]() | ![]() | Left Picture: Puffy Nipples Before Gynecomastia and Nipple Reduction Surgery Right Picture: 1 month after surgery to reduce gynecomastia and nipples. To learn more about this man's puffy nipples please start here. |
For other patients, puffy nipples can mean long nipples (the anatomic structure just in front of the areola). Left Picture: Before Plastic Surgery to Reduce Long Puffy Nipples. Right Picture: After Reduction Plastic Surgery of Big Male Puffy Nipples. Learn more about this puffy nipple reduction here. | ![]() | ![]() |
![]() | ![]() | Big Puffy Nipples can distort the curve of the pectoral muscles in men. In this male, the puffed nipple contained gland giving an unusual look to the areola and chest. Left Picture: Before Gynecomastia Surgery for Big Puffy Nipples in Men Right Picture: Only 12 Days After Gyno Surgery for Big Puffed Nipples in Men |
All forms of Liposuction preferentially remove fat over gland. Liposuction can remove fingers of fat between fingers of gland, condensing a firm gland / scar mass. This firmer tissue does not compress like fat and can puff the nipple areola region. Residual fat can also disrupt the male contour causing male puffy nipples. Right Picture before Dr. Bermant's revision of gynecomastia puffy nipples (after only liposuction by another doctor). |
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![]() | ![]() | Left Picture before revision of gynecomastia puffy nipples (after only liposuction by another doctor). Right Picture 2 months after Dr. Bermant's revision of puffy nipples for residual gynecomastia after liposuction. To learn more about this patient with revision of puffy nipples please start here. |
Please take your time to learn about puffy nipples, puffed nips, gyno, and gynecomastia problems and Dr. Bermant's Sculpture of the Male Chest. We are glad to help you explore your concerns during a consultation or preliminary remote discussion.
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