What causes puffy nipples in men?

“Why are my nipples puffy?”

Puffy nipples in men occur 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.

Dr. Truong, Top Gynecomastia Surgeon in Chicago, IL and Founder of XSCULPT, explains 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 unrelated 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 in men 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 or puffy nipples in men.

Gynecomastia or puffy nipples in men, “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 the following:

  • Being obese or overweight – body fat is a key gynecomastia component
  • Hormonal imbalance or abnormal hormone levels such as estrogen level or testosterone levels
  • Certain types of medications, including anti-anxiety drugs and even some herbal supplements
  • Anabolic steroids or drug use: illegal drugs and marijuana
  • Certain medical conditions

It is important to know that the staff, doctors, and Xsculpt specialize in male health concerns. We are familiar with the causes of puffy nipples in men or gynecomastia treatment and possible outcomes from surgical and non-surgical treatments.

Sometimes puffy nipples in men or Gynecomastia can be hereditary or idiopathic. Idiopathic means that there is no identifiable cause. The only way to know if you have puffy nipples in men or Gynecomastia is to be evaluated by a surgeon specializing in Gynecomastia to discuss your treatment options.  This common condition can be treated with a simple cosmetic procedure.

Learn more about XSCULPT’s specialized procedure, CHESTSCULPT (gynecomastia surgery), specifically designed to treat Gynecomastia with a simple 45-minute cosmetic procedure.  During this gynecomastia procedure, we perform an excision of breast tissue or the removal of gynecomastia tissue.  This is the definitive treatment for gynecomastia.  If needed, we may perform liposuction as a secondary treatment to reduce nipple puffiness.  Lastly, your surgeon may remove excess skin to improve your chest look. Before surgery, our team will thoroughly evaluate you and create a treatment plan for your specific needs and condition. We are happy to discuss all aspects of gynecomastia with you including the cost of gynecomastia during your consultation.

best gynecomastia surgeons in Chicago Illinois


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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