“Why are my nipples puffy?”
When the male areola projects outward, it can cause the nipples to look “puffy” or “pointy.”
This is one of the most common questions we get asked. Watch Dr. Truong explain why puffy nipples are one of the common signs of Gynecomastia.
1. Male Puffy Nipples: Enlargement of the male breast tissue under and around the nipples.
The enlarged male breast tissue is distinct from and not related to the chest muscle. Some men may find that their puffy nipples do not go away when they lose weight or work out their chest area. When the chest muscle is more developed, sometimes it can make puffy nipples worse or more noticeable.
2. Enlarged or “puffy” areola and nipples in men
Puffy nipples are usually associated with Gynecomastia. The enlarged breast gland tends to push the nipple and areola outward, which causes the nipple to look “puffy.”
3. Female breast-like appearance to the male chest area
The ideal male chest is flat and firm with very little projection from the nipple. When we check a patient, we also look for the point of maximal projection in the chest area. So when you’re wearing a shirt, the chest area should be projecting above the nipple. If the nipple is the point of maximal projection, meaning it sticks out further out than the pectoral muscles, this could also be a sign you have Gynecomastia.
Gynecomastia “man boobs” is a widespread problem, affecting up to 65% of men in the United States, according to the American Society of Plastic Surgeons. Some common causes may include:
- Being obese or overweight
- Hormone imbalance
- Certain types of medications
- Steroid or drug use such as smoking weed
Sometimes Gynecomastia can be hereditary or idiopathic. Idiopathic means that there is no identifiable cause. The only way to know if you have Gynecomastia is to be evaluated by a surgeon specializing in Gynecomastia to discuss your treatment options.