Get Rid of Male Puffy Nipple Syndrome in 45 Minutes

"...it was by far the best decision of my life and I can’t put into words how positive of an experience the entire team at Xsculpt made it for me. Can’t thank you guys enough"

“Male Puffy Nipple Syndrome” is when a man’s nipple appears “puffy” and protrudes above the chest area creating a “female-like” appearance in the male chest. Male puffy nipple syndrome occur when there is an overgrowth of the breast gland that is lying directly behind the nipple and areolar but there is a minimal amount of surrounding fat causing a pointy appearance of the nipple. Male puffy nipple syndrome may be a form of Grade I, early stage gynecomastia.

You don’t have to live with hiding your chest. Meet with one of our top rated gynecomastia experts for male puffy nipple syndrome for a FREE evaluation today. We offer both in-person and virtual consultations for male puffy nipple syndrome.


When a man’s nipples protrude significantly above the level of the skin they are often described as “puffy nipples “ or “pointy nipples” in appearance.  Puffy nipples syndrome may be an early form of Grade I gynecomastia.  Gynecomastia is a condition in males where there is overgrowth of the breast tissue and fat behind the nipples.

Puffy nipple syndrome occurs when there is an overgrowth of the gland that is lying directly behind the nipple and areolar but there is a minimal amount of surrounding fat causing a pointy appearance of the nipple. Puffy nipple syndrome is commonly seen in very lean men with a low body fat percentage because of the minimal surrounding fat.

Puffy nipples in men may cause social stress such as anxiety, embarrassment and even depression. and because although their overall physique is ideal, puffy nipples causes men to feel self-conscious female-like appearing chest.

Men who have puffy or pointy nipples may try to get rid of the condition without surgery, however surgery is the most effective way to get rid of this issue for good.

A man in black shorts is posing in front of a wall.


Men who have puffy or pointy nipples may try to get rid of the condition without surgery, however surgery is the most effective way to get rid of this issue for good.

Gynecomastia Before & After Gallery

See our extensive before and after gallery of male breast reduction patients by top gynecomastia surgeons.

"...now I can wear any shirts without worrying about my chest."

“My mom bought this compression shirt for me because I used to workout almost everyday. I loved the shirt however, my chest area looked puffy and pointy no matter how lean I got from the right diet and exercise so I never really liked to wear it. Thanks to X-Sculpt I couldn’t be happier with my results, now I can wear any shirts without worrying about my chest. Dr Adajar, Anabel and whole X-Sculpt team are very caring, friendly and I’d highly recommend it to anyone who’s going through the same struggle” 

Actual Patient 3 Months Post Op following TotalSculpt surgery

Male Puffy Nipple Syndrome FAQ

1.   What causes puffy nipple syndrome?

The overgrowth of the gland that leads to the puffy nipple appearance is most often due to an increase in estrogen hormone that originates during puberty. Estrogen is made from testosterone by the conversion of testosterone via an enzyme called aromatase. The sudden increase in testosterone during this puberty causes an increase in estrogen due to the conversion of testosterone to estrogen from the aromatase enzyme.  It is the high estrogen levels that causes the development and growth of the breast gland leading to puffy nipple syndrome.

2.   Can puffy nipple syndrome go away on its own?

During puberty if the testosterone and estrogen levels return back to normal before one year from the appearance of the breast gland enlargement then the gynecomastia usually resolves. However, If the breast gland remains enlarged for a year or more then often it becomes permanent.  The development of fibrous scar tissue within the gland itself occurs after about a year.  At that point, the only permanent treatment would be surgery.

3.   How is puffy nipple surgery performed?

Surgery to treat puffy nipples permanently is usually done under local anesthesia. Because individuals with puffy nipple syndrome tend to be very lean with a low body fat percentage, liposuction is not necessary.  A local anesthetic is injected around the nipple and gland. A small incision is then made along the border of the nipple to hide the incision.  Through this incision the gland is excised. The incision is enclosed with dissolving sutures and covered with a sterile dressing. The patient goes home immediately after the procedure.

4.   What is the recovery and downtime for puffy nipple surgery?

Because no liposuction is required, the recovery for puffy nipples surgery is relatively quick. A compression vest is used for several weeks to limit swelling after surgery and to prevent fluid collections such as hematomas or seromas. Return to exercise can occur within two weeks. The incisions are usually fully healed by then as well. The discomfort after surgery is often quite minimal and can be managed usually with extra strength Tylenol or ibuprofen.

Every patient is different and it’s important to follow your surgeon’s instructions for the best result.

5.   Can puffy nipples go away without surgery?

Non-surgical treatment for puffy nipples often depends upon how long the condition has been present.. It takes about a year for fibrous scar like tissue to develop within the breast glad. Once fibrous scar tissue develops, the gynecomastia is permanent and surgery is the only treatment. However, if medical therapy is started early and aggressive enough, then the gynecomastia can shrink and in some instances disappear completely. Aromatase inhibitors that block the enzyme that converts testosterone to estrogen as well as estrogen receptor blockers are the most often used.  Your primary care doctor, endocrinologist, or a surgeon who specializes in gynecomastia would be the best resources people to help prescribe these medications if necessary.

6.   How long does puffy nipple surgery take?

*Gynecomastia surgery takes about 45 minutes up to 2 hours to perform. This can vary depending how much fat and breast tissue has to be removed. The procedure is done as an outpatient, so you will be able to return home shortly after.

7.   How long will it take to see my results?

*You will likely see results immediately after the procedure. Swelling and bruising is common in the beginning, but usually goes away after a couple of weeks.

*As the healing process continues, you will see a flatter, more defined chest. The healing process does take time and the final result will likely be most appreciated 2 to 3 months after surgery.

*Combined with a program of a healthy diet with exercise, many patients may continue to see positive results 6 to 12 months after surgery!

8.   How much does it cost for puffy nipple surgery?

Puffy nipple surgery can range anywhere from $3995* to $5995* or more. The final quote will depend certain factors such as the severity of your case and the doctor’s evaluation. Because every patient is different, a quote will be provided to you following your consultation and initial medical evaluation. We provide an all inclusive quote and treatment plan customized to you and there will never be any hidden fees.

Be sure to check our Specials page for current offers.

We offer several financing options for patients who desire a deferred payment plan. Learn more about financing here.

9.   How can I get a consultation for puffy nipple surgery?

  1. Call us directly to schedule 833-972-8578
  2. Complete a Contact Form on located on this page and someone will reach out to you with a phone call and email within 1-2 days to schedule your appointment
  3. If you are an out of state patient or cannot travel to our physical office, we offer Online Virtual Consultations 


The assessment of a male suffering from pointy or puffy nipples should be evaluated by a trained gynecomastia surgeon who is trained in the male physique.  If you are suffering from puffy nipples that has caused you embarrassment, shame, and a poor sense of self-confidence, consider surgery as a permanent solution.

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*Results will vary from person to person. All individuals are unique and will experience different results from the procedures provided at XSculpt™.


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