Competition Bodybuilding Male with Puffy Nips - Pictures Before and After Surgery
Patient competes in bodybuilding and did not like how his nipples were "poofy" at times and that there was a firm mass that tended to distort his chest during flexing. As a competitive bodybuilder, he had an extremely low body fat that tended to show the small glandular mass under his nipples.
40 year old male
5 feet 6 inches tall weighing 165 pounds
Location Surgery: Bermant Plastic and Cosmetic Surgery Center (Office Operating Room)
Anesthesia: Tumescent Local with Sedation
Method: Dynamic technique, excision mass, micro-liposuction contouring, deep tissue sculpture, and fat flap sculpture
It does not take much to distort the cut look of a bodybuilder. The firm gland tends to move and compress differently than fat and can look strange. The problem in sculpting this problem is not creating a crater defect with the gynecomastia surgery.
Picture Competitive Bodybuilder Patient: 1 Year After Gynecomastia Surgery Winning His Division During Bodybuilding Competition.
Subtle Gynecomastia in Competition Bodybuilder
![]() |
Picture Before Gynecomastia Surgery for Puffy Nips in Competition Bodybuilding Male Competition Bodybuilders often have very little body fat. Posing and flexing can show even the smallest distortion of firmer gland or scar. The gland here is very small, a normal size gland for a male. The goal in sculpting a chest like this is to resolve the deformity of the gland without replacing it with a deforming scar. Dr. Bermant does this by first focusing on the small gland, then using what little fat is there to fill in the hole, and then contour this fat. |
![]() |
![]() |
| Picture Before Gynecomastia Surgery for Puffy Nips in Competition Bodybuilding Male | Picture Only 10 Days After Gynecomastia Surgery for Puffy Nips in Bodybuilder |
![]() |
![]() |
| Picture Before Gynecomastia Surgery for Puffy Nips in Competition Bodybuilding Male | Picture Only 10 Days After Surgery for Puffy Nips in Competition Bodybuilder |
Subtle Puffy Nips in Competitive Bodybuilder
![]() |
![]() |
Left Picture Before Gynecomastia Surgery for Puffy Nips in Competition Bodybuilding Male Right Picture Only 10 Days After Gynecomastia Surgery for Puffy Nips in Competition Bodybuilder Dr. Bermant calls removing gland with so little surrounding fat, Finesse Gynecomastia Surgery and uses his Dynamic Technique to minimize crater deformity. |
![]() |
![]() |
Left Picture Before Gynecomastia Surgery for Puffy Nips in Competition Bodybuilding Male Right Picture Only 10 Days After Gynecomastia Surgery for Puffy Nips in Competition Bodybuilder |
![]() |
![]() |
| Picture Before Gynecomastia Surgery for Puffy Nips in Competition Bodybuilding Male | Picture Only 10 Days After Surgery for Puffy Nips in Competition Bodybuilder |
![]() |
![]() |
| Picture Before Gynecomastia Surgery for Puffy Nips in Competition Bodybuilding Male | Picture Only 10 Days After Gynecomastia Surgery for Puffy Nips in Bodybuilder |
Gland Excised That Was Causing Puffy Nips
![]() |
![]() |
| Picture Plan For Surgery - Extent of Gland | Picture Plan For Surgery - Extent of Gland |
![]() |
![]() |
| Picture Before Gynecomastia Surgery for Puffy Nips in Competition Bodybuilding Male | Picture Only 10 Days After Surgery for Puffy Nips in Competition Bodybuilder |
![]() |
![]() |
| Picture Before Gynecomastia Surgery for Puffy Nips in Competition Bodybuilding Male | Picture Only 10 Days After Gynecomastia Surgery for Puffy Nips in Bodybuilder |
![]() |
![]() |
| Picture of Gland That was Causing Puffy Nips Gynecomastia in Competition Bodybuilder | Picture of Gland That was Causing Puffy Nips Gynecomastia in Competition Bodybuilder |
![]() |
Picture of Gland That was Causing Puffy Nips Gynecomastia in Competition Bodybuilder Notice the small incisions at the edge of the areola seen above where Dr. Bermant hides his scars. He typically does not need drains which would be through an extra incision. |
Check out more of Dr. Bermant's sculpture in this Body Builders Picture Gallery.
![]() |
Gynecomastia | ![]() |




































