I am a 27-year-old male and I am suffering from puffy nipples, causing my aerola to swell in normal temperatures and it doesn't look good when I wear t-shirts as my chest pops out like breasts. In cool temperatures, puffiness doesn't happen. I don't think its gynecomastia. Please help me.

Dr. Prakash ChhajlaniCosmetic/Plastic Surgeon39yrs exp

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Gynacomastia is not a disease but excess response to hormones. If it does not bother you you don't have to get it removed. As long as the breast size is big it is taken as gynacomastia which could be because of more fat or more breast tissue or a mixture of the two. Wait till 18 years of age and then if not resolved look for surgical treatment. To the best of our knowledge no medicines or creams work to decrease the breast size. Male breast or gynecomastia reduction. Gynecomastia is treatable by surgery. There is no medical treatment. It is a one day out patient surgery with very gratifying results. It boosts self esteem also. It is a 1 day hospital stay surgery. It takes 1 day for consultation and investigation and 2nd day surgery and discharge in 3-4 hours. The Dr. Can examine and tell you what is the problem, gynacomastia has a breast tissue and a fat component. No one wants surgery unless it is necessary. There is no medication which can give the results. Surgery is the only answer. The surgery is almost painless because there are enough medications to keep the pain under control. We need to examine the patient to know what is wanted and what can be done and to work out how much, when, where, etc 

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