Puffy Nipples In Men – Causes and Solutions


Puffy male nipples, or pointy male nipples, may be a sign of Gynecomastia.

Gynecomastia is a disorder characterized by increased breast tissue that affects around 32–65% of guys. Gynecomastia can affect men of any age. This condition, however, is more common as men age.

How to Get Rid of Fat Nipples in Men: Exercise, Diet, and Surgery

Puffy nipples in men are relatively common, even in the teens. The puffiness is commonly the result of enlarged breast glands. This might be related to hereditary, steroid usage, or fat buildup from the diet. Targeted exercise is one way to decrease puffiness in men that are overweight. Dietary changes and supplements may also help in those cases.

Puffy nipples in males can be caused by various circumstances, including hormone imbalances, specific activities, and extra body fat. It is helpful to note, that although they might be bothersome, swollen nipples are rarely a sign of a medical issue.

Implementing dietary and activity adjustments can help. If these adjustments do not work or are unrealistic, surgery can minimize breast tissue and restore the chest to a more masculine contour.

Let’s look in more detail at what causes fat nipples in males. We will also consider measures to decrease their appearance before and after surgery.

Some causes of puffy or pointy nipples in men include:

  • Genetics
  • Hormonal imbalances
  • Steroid use
  • Certain exercises
  • Excess body fat 

Everyone is born with both sex hormones: testosterone and estrogen. Males have greater testosterone levels as a rule. Higher-than-normal estrogen levels can cause the mammary glands to enlarge, resulting in the medical condition known as Gynecomastia. If estrogen levels return to normal, breast and nipple swelling often subsides. Anabolic steroid usage is one of the causes of hormonal imbalance.

Specific workouts such as running or jogging for a long time sometimes result in swollen nipples. Running’s repeated up and down action can generate friction between the flesh of the nipple and the fabric of the clothes, resulting in chafing, often known as “jogger’s nipple.” 

Causes and Solutions for Fat Nipples in Men


Excess body fat can impact the shape and look of the breasts and nipples. When a man has extra fat tissue in his breasts, nipples can become more prominent and visible through clothing. Breast tissue and nipple visibility are common complaints that men wish to resolve with Gynocomastia surgery.

Obesity can be a twofold issue for fat nipples in men. In addition, to being overweight, adding fat to the breast area, obesity induces hormonal abnormalities in males. Researchers discovered that males with increased body fat had lower testosterone levels and higher estrogen levels. Reducing body fat can help to normalize hormone levels and minimize breast and nipple swelling. 

Reduce body fat with diet: 

  • Eating raw fruits and vegetables can help reduce body fat.
  • Eat fewer processed foods.
  • Reduce sugar consumption from refined foods, especially high fructose corn syrup and foods with added fructose. These sugars are readily converted in the liver to fat.
  • Reduce your consumption of refined carbs
  • Increase your consumption of good fats, like avocados and olive oil which provide a lasting feeling of fullness and inhibit cravings.

Men who suspect they have a hormonal imbalance should limit their estrogen-rich meals and increase their intake of testosterone-rich foods. Foods high in estrogen that should be eaten more sparingly include:

Highest in Estrogen Are Legumes:

  • Split peas
  • Soy products
  • Pinto beans
  • Lima beans
  • Alfalfa and clover sprouts
  • Lentils

Do your research for high estrogen foods like:

  • Many berries
  • Some nuts
  • Dairy (from animals treated with hormones) 
  • Meat (from animals treated with hormones)

Puffy Nipples From Other Causes

Men who are not significantly overweight can minimize nipple puffiness and breast edema by performing specific chest workouts. The exercises listed below are intended to strengthen and tone the chest muscles:

  • Barbell bench press
  • Chest press
  • Forward dips
  • Pushups
  • Incline bench cable fly
  • Planking

These exercises, consistently included in people’s fitness routines, will see results over time. Target numerous muscles by performing more than one chest exercise for well-rounded results. A few sessions with a personal trainer might be beneficial to ensure you are doing the best set of chest exercises for your goals.  

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Gynocomastia Surgery – What You Need to Know

Gynecomastia surgery, commonly known as male breast reduction, is a surgical procedure used to address overdeveloped breast tissue in men.

When male patients present with symptoms of Gynecomastia, they typically complain of lumps or extra fat in their breasts. Standard procedures to correct Gynecomastia are:

  • Liposuction of excess fat
  • Surgical removal of excess glandular breast tissue by an incision at the nipple-areolar complex edge 
  • Excision of loose skin when breasts are oversized 

To rule out the slight possibility of male breast cancer, your surgeon may undertake a thorough physical examination of your breasts.

Preparing for surgery includes:

  • Discontinuing drugs and supplements that raise the risk of bleeding. 
  • Improving your nutrition to aid healing and recovery following surgery.
  • Have the medical tests ordered by your doctor.
  • Filling prescriptions for antibiotics and pain medication

Most surgeons conduct the surgery under general anesthesia; however, some procedures are well-suited to being performed under oral sedation and local anesthetic. 

Some surgeons employ drains following surgery to limit the possibility of fluid accumulation and infection. Compression vests and ice are also used to aid pain management, swelling reduction, and bruise control. 

Are You Thinking About Additional Surgeries?

Some of our patients want more comprehensive procedures than just the removal of breast fat. At XSculpt, we offer ChestSculpt™ with VASER, the most complete gynecomastia surgery available.

If you are looking for a more masculine chest with enlarged pectorals and a sculpted six-pack, we have a propriety surgical approach called AbSculpt™. 

If you are ready for a “Daddy-Do-Over”, TotalSculpt™ by XSCULPT is the ultimate total body makeover tailored to the male physique.

FAQ About Fat Nipples in Men

Why are my nipples sore as a male?

Sore nipples in males can be caused by various factors, including friction from clothing, hormonal changes, irritation from skincare products, or underlying medical conditions such as gynecomastia (enlarged breast tissue).

How to reduce nipple size in men?

Nipple size in men can be reduced through surgical procedures such as nipple reduction surgery or liposuction for cases of gynecomastia. However, it’s essential to consult with a qualified healthcare professional to determine the most appropriate treatment option.

Do big nipples in men mean low testosterone?

While testosterone levels can influence body composition, including fat distribution and muscle mass, the size of nipples in men does not necessarily indicate testosterone levels. Various factors contribute to nipple size, including genetics and hormonal fluctuations.

What causes big nipples in men?

Big nipples in men can be due to a variety of reasons, including genetics, hormonal fluctuations, gynecomastia, weight gain, or certain medical conditions. Consulting with a healthcare professional can help identify the underlying cause.

Do nipples get bigger when you gain weight?

Yes, weight gain can increase fat tissue around the chest area, which may result in larger nipples. Additionally, hormonal changes associated with weight gain can also influence nipple size.

Why are my nipples puffy as a guy?

Puffy nipples in men may be caused by gynecomastia, a condition characterized by the enlargement of breast tissue. Hormonal imbalances, genetics, obesity, certain medications, and underlying medical conditions can contribute to puffy nipples.

Why do some men have big nipples?

Big nipples in men can be attributed to a combination of factors, including genetics, hormonal fluctuations, gynecomastia, weight gain, or certain medical conditions. The size and shape of nipples vary among individuals and are influenced by various factors.

What’s Next

If you consider Gynocomastia surgery as an option for eliminating excess breast tissue, our surgeons are specialists in male cosmetic surgeries. 

We invite you to set up a free consultation to discuss male-focused surgery and any other procedures you consider. We even have Saturday consults to accommodate your busy schedule. Contact us soon!

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XSCULPT was founded by two award-winning board-certified surgeons Dr. Marc Adajar & Dr. Anh-Tuan Truong. Our practice specializes in body contouring procedures, including Gynecomastia (Male Breast Reduction), Abdominal Etching, Lipo 360, Vaser Hi Definition Liposuction, Male Puffy Nipple Reduction, Male Tummy Tuck, and Non-Surgical Fat Reduction. Medical services include Hormone & Testosterone Replacement Therapy, Anti-Aging, Peptide Therapy and Medical Weight Loss.

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