Puffy Nipple is a common type of gynecomastia seen in teenagers, young adults, and very fit men. Puffy Nipple differs from Classic Gynecomastia in that the nipple and areola are cone shaped causing the areola to protrude and look almost "puffy." On an ideal chest, the areola lays flat with the surrounding chest skin. When there is a case of “Puffy Nipple”, the areola projects outward. Many men complain that their protruding nipples become worse in warm and hot temperatures. Often times men are unable to wear lighter shirts because the puffy nipples show through causing them embarrassment and humiliation.
A large number of men with Puffy Nipple are thin and fit. They tend to become very frustrated, because no amount of diet or exercise will improve or resolve the issue.
What causes Puffy Nipple?
Puffy Nipples are commonly caused by an excess amount of breast tissue underneath the nipple and areola. This breast tissue pushes the nipple outward and makes it overly visible, especially in thin shirts. It also pushes the areola outward causing it to no longer be flush with the surrounding skin. This creates a “puffy” appearance. Again, this is usually exaggerated in warm and hot weather. Unlike Classic Gynecomastia, With Puffy Nipple there is not nearly as much fat as you would find with classic gynecomastia. This means liposuction alone will not entirely fix the problem. Liposuction will reduce the overall volume, however it frequently accentuates the remaining breast tissue, causing the puffy nipples to appear even more cone shaped than before. The ideal solution is to remove both the excess fat and breast tissue.
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.
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.