Bermant Gynecomastia Male Breast Reduction Plastic Surgery
Bermant Puffy Nipples in the Male Breast with Gynecomastia - pictures before and after reduction

Puffy Nipples and Gynecomastia of the Male Breast (reduction surgery, suction lipectomy, liposculpture)

Explore photographs before and after surgery for gynecomastia - tumescent liposuction. Plastic and cosmetic surgery by Dr. Michael Bermant, MD.

Michael Bermant, MD
Board Certified by the American Board of Plastic Surgery

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Treatment for Puffy Nipples of Gynecomastia

Patient unhappy with his puffy nipples and male breast enlargement in the areola region.

21 year old male

6 feet 2 inches tall weighing 185 pounds

Surgery location: Hospital Operating Room

Anesthesia: Tumescent Local with Sedation

Method: Dynamic technique, excision mass, liposuction contouring, and deep tissue sculpture

More Pictures about this male patient can be found here.

Puffy nipples, although a common patient description of this problem, is not an accurate. The area swollen includes the nipples, areola, and surrounding region. In this case, most of the swelling is under the areola.

These are very early after gynecomastia surgery Pictures demonstrating the improvement with this Dynamic Technique. Most of the change can be seen on the operating table. The tumescent fluid swelling improves over the next several hours to several days. Zone of injury swelling can take a few weeks to mostly resolve. However, with any liposuction sculpture final results can take more than 6 months.

Please start here for other Pictures about this patient.

Pictures of puffy nipples and areola from gynecomastia before surgery. Pictures of puffy nipples and areola from gynecomastia before male breast reduction.
Pictures of puffy nipples and areola from gynecomastia after surgery. Pictures 9 days after gynecomastia male breast reduction surgery for nipple and areola enlargement
Pictures of enlarged nipples and areola from gynecomastia before male breast reduction surgery. Pictures of puffy nipples and areola from gynecomastia before male breast reduction.
Pictures of enlarged nipples and areola from gynecomastia after male breast surgery. Pictures 9 days after gynecomastia male breast reduction surgery for nipple and areola enlargement
Pictures of puffed nipples and areola before gynecomastia reduction surgery. Pictures of puffy nipples and areola from gynecomastia before male breast reduction.
Pictures of puffed nipples and areola after gynecomastia reduction surgery. Pictures 9 days after gynecomastia male breast reduction surgery for nipple and areola enlargement

"Puffy Nipples" can be caused by a mass pushing the skin away from the chest muscles. Protrusion can be so severe that the areola is actually stretched. This patient's mass was almost all gland.

  • Right Breast 2.5 x 2 x 1.5 cm gland and 50 cc surrounding fat
  • Left Breast 3.5 x 3.5 x 2 cm gland and 50 cc surrounding fat

Areola shrink when not stretched by a mass of fat and gland.

Pictures of cause of puffed nipples and areola after male breast reduction.

For this patient, most of the puffy nipple problem was from these glandular masses. Each mass was very firm and contained minimal fat.

Puffy nipples and areola before gynecomastia male breast reduction surgery. Puffed nipples and areola before gynecomastia male breast reduction surgery. Pictures of contour map surgical plan to treat puffy nipples and areola from gynecomastia.

The inner circle was the gland region. The outer circle marked the localized extra fat.

Enlarged nipples and areola before gynecomastia male breast reduction surgery. Puffy nipples and areola before gynecomastia male breast reduction surgery. Pictures of contour map surgical plan to treat puffy nipples and areola from gynecomastia.

Sculpture of very thin male chest with very little fat can be difficult when there is a large glandular mass. Dr. Bermant prefers his Dynamic Technique to sculpt such tissues. Excision of the mass can leave a crater depression. Dr. Bermant moved some of the surrounding fat into the defect before the liposuction to determine how much liposuction should remove. Liposuction done first can result in too much removed without enough fat to correct for the dense gland loss. Otherwise thick firm gland must be left instead of the softer fat. This harder gland does not compress nor move like fat. Repeat surgery where most of the fat has been liposuctioned can face similar difficulties. See more pictures of this patient before and after surgery.

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This page last updated on: January 10, 2013

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