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Patient Details
Sometimes. Mild puffy nipples in teenage boys often fade within about 18 months as hormones settle. If they are still there after that point, or were pronounced from the start, they rarely resolve on their own, and surgery is typically the next step. This 17-year-old had a case that could not wait.
His teenage gynecomastia was Type 1, meaning the extra tissue sat directly under the nipple and areola, the darker circle around the nipple, and made them puff outward. He also had a constricted chest, where the base of the areola is narrow and the tissue pushes forward into a cone shape. A presentation this pronounced shows even through a shirt, so waiting it out was not a realistic option.
Dr. Cruise, creator of the Cruise Gynecomastia Classification system, corrected it in two stages. The first surgery removed the glandular tissue causing the puffiness. Six months later, a second, smaller procedure removed additional skin so the chest could settle into a flatter, more natural contour. The after photos were taken 5 months after the second procedure.
His chest now has a flatter profile and a natural male nipple shape, appropriate for his age and build. Patients travel to our Newport Beach practice in Orange County from across the country and around the world, including many teens and their parents.
If your son has puffy nipples that have lasted more than a year and a half, or that are pronounced enough to affect his confidence, an evaluation is worth having. Learn more about our Los Angeles gynecomastia patients, and book a consultation to find out what type of gynecomastia he has.
