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Blog. How to Evaluate Puffy Nipple Surgery Results

If you’ve had surgery of any kind, there’s a good chance you’ve been advised to wait to evaluate any results until time passes, swelling resolves, and tissues settle into place.  Prepare to be surprised:

Good results from male puffy nipple surgery should be obvious right away.

Let’s clarify.  If you have a case of very large “man boobs” (gynecomastia), of which male puffy nipples are a component, of course you will experience swelling after breast glands and excess fat have been removed.  Contours will need time to remodel a bit as well.  Even so, as you begin to look at your post-surgical chest under your bandages, you should notice that your nipples and areolas lie just about flush with the surrounding skin.  If you’re a bodybuilder with excess breast tissue as a side effect of anabolic steroids, the change should be even more remarkable.  Yes, immediately.

How does this happen?  Male puffy nipples are most often a consequence of breast gland growth right underneath the nipple/areola complex (though there may be excess tissue present throughout the breasts as well).  A very experienced gynecomastia surgeon knows how much to remove so the surface skin will lie flat.  In the hands of a less experienced surgeon, one of two outcomes can easily occur:

1)Residual puffiness: This is the case when not enough tissue is removed.  If your nipples still stick out more than they should even shortly after surgery, it’s probable this has happened to you.

2) Craters: Dents and valleys can easily be created when too much tissue is removed.  The unlucky patient who ends up with craters is usually able to notice them soon after his procedure.

So, how does an experienced gynecomastia specialist avoid these bad results from puffy nipple surgery?  It all happens right on the operating table, and constant attention is key.

A surgeon in the know will understand how to remove enough of the breast gland to allow the area to flatten.  Someone with years of male breast reduction will not be too timid and leave tissue behind.  As the gland is removed, indentations sometimes do occur. A gynecomastia specialist with a practiced eye will see this happen.  In the best of cases, he or she will rotate small flaps of attached fat into the spot right then and there, ensuring smooth skin contours.  The point is, the nipple/areola complex must be flush with the rest of the breast before the procedure is over.

Should results look great after surgery but nipples puff out again in a few weeks, scar tissue is likely the culprit.  Most often, an injectable can be used to smooth things out.  Sometimes a minor surgical procedure is the answer.

If you’ve had surgery for puffy nipples and you’re unhappy with the results, the first step is to return to your doctor and see what they have to say.  It can be a good idea to get a second opinion as well.  If you decide a do-over is in order, it’s more important than ever to choose a man boob specialist—one who performs gynecomastia revision surgery regularly.  Getting it right the second time is even more challenging than the initial surgery.

We would be proud to be on your radar for puffy nipple surgery in the greater Miami area, or for a revision procedure. Contact us online to start a conversation.


Dr. Elliot William Jacobs is a board-certified aesthetic plastic surgeon who specializes in FTM top surgery, gynecomastia surgery, revision gynecomastia surgery and male breast reduction. He is a native of New York and has over 40 years of experience in his field. Dr. Jacobs is a highly respected and sought-after surgeon who is known for his skill, experience, and compassion. Whether you are interested in gynecomastia for the first time, or are looking to correct a gynecomastia you aren’t happy with, Dr. Jacobs can deliver amazing results.


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