Puffy Nipples differ from Classic Gynecomastia in that the nipple and areola are cone shaped causing the areola to appear “Puffy”. On an ideal chest, the areola is even with the surrounding chest skin. When there is a case of “Puffy Nipples”, the areola projects outward. This is especially true in warmer or hot temperatures. Many men routinely complain that their nipples are too visible in thin clothing during hot weather.
- Overview of Gynecomastia
- Causes of Gynecomastia
- Ideal Male Chest
- Dr. Cruise’s Gynecomastia Philosophy
- 7 Types of Gynecomastia
- 1-Puffy nipple. Breast tissue outside of areola
- 2-Chest angle less than 45 °
- 3-Chest angle 45-60° Mild breast sag
- 4-Chest angle 60-90° Moderate breast sag
- 5-Chest angle greater than 90° Significant sag
- 6-Top of areola is above chest fold. Severe sag
- 7-Top of areola is below chest fold. Extreme sag
- Components of Gynecomastia
- Classic Gynecomastia
- Puffy Nipples
- Fatty Gyecomastia
- Saggy Gynecomastia
- Breast Roll
- Are You a Good Candidate?
- Benefits of Male Breast Reduction
- Prior to Male Breast Reduction
- Male Breast Reduction Anesthesia
- After the Male Breast Reduction
- Recovery from Male Breast Reduction
- Possible Complications
- Gynecomastia Before and After Pictures
|Ideal Chest||Puffy Nipple|
Patients with Puffy Nipples are typically thin and in very good shape. This can be especially frustrating as no amount of diet and exercise reduces the conical shape.
What causes Puffy Nipples?
|Ideal Chest||Puffy Nipple|
Puffy Nipples are usually caused by an excess amount of breast tissue directly underneath the nipple/areola. This breast tissue pushes the nipple outward and makes it overly visible, especially in thin shirts. Additionally, it pushes the entire areola outward so that it is no longer even with the surrounding skin, causing a “puffy” appearance. Again, this is particularly evident in warm weather. Unlike Classic Gynecomastia, the Puffy Nipple does not present nearly as much fat which means liposuction alone is unlikely to be an effective course of treatment. Liposuction will reduce the overall volume, but in many cases it actually accentuates the breast tissue, making the chest appear even more cone-shaped.
|Puffy Nipple – Profile view||Puffy Nipple – Front view|
Notice how the chest in the above case does not round out as much as classic gynecomastia. Instead, the chest fold maintains a relatively horizontal orientation. The rounding you see is from excess fat or breast tissue along the bottom and lateral part of the chest.
On the profile view, the nipple and areola projects outward from the skin giving a “puffy” appearance. Additionally, excess breast tissue directly beneath the nipple causes the nipple to appear pointy, making them more noticeable in clothing.
|Puffy Nipple – Cut out view|
The cut out view shows the Puffy Nipple is conical in shape. The breast issue, which is located directly below the areola, creates a cone with the nipple on top. Also apparent is the relative lack of fat when compared to classic gynecomastia, which is why the chest is not so rounded out. Once again, removing the fat with liposuction without removing the breast tissue will make the nipple appear even more cone shaped.
Joseph T. Cruise M.D. has earned the reputation as one of the top Newport Beach plastic surgeons specializing in cosmetic surgery. Cruise Plastic Surgery provides procedures such as breast augmentation, facelift, gynecomastia, tummy tuck and other cosmetic surgeries. Patients often begin with a search for ‘Orange County Facelift’ or ‘Breast Augmentation Newport Beach’, then come to our office for a consultation, and ultimately benefit from one of Orange County’s best plastic surgeon specialists. Dr. Cruise’s patients come from Newport Beach, Laguna Beach, Irvine, California, as well as around the world to our top plastic surgery center for breast implants as well as rhinoplasty (nose surgery), liposuction, or neck lift surgery. Our goal is to offer the best quality plastic surgery in Orange County with affordable cost options.