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What causes puffy nipples?

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Posted on Mon, 28 Jul 2014
Question: Hello, I believe I have pseudo-gynecomastia. I'm a 19 year old male and I've had puffy nipples for as long as I can remember and they really lower my self-esteem. I've gotten negative comments about my nipples in the past and really hate my body. My breasts themselves (from what can be seen) seem to be fine. However, the nipples are very puffy and unsightly. The aurolea area is normal sized in diameter, but the nipples themselves stick out way too much, like round domes instead of like a normal male nipple. The only time they look normal is when they are cold or when they are in water. Otherwise, they look absolutely terrible. I've had these for as long as I can remember, even before puberty, I believe. I was born premature as an identical twin with a 1% chance of survival so I think it may be a genetic deformity. I hope it is curable and am dire for an answer for treatment routes! Please help me!
doctor
Answered by Dr. T Chandrakant (2 hours later)
Brief Answer:
wait and watch at the moment

Detailed Answer:
Hi.
Thanks for your query an an elucidate history.

To recapitulate::: Born premature- now you are 19- puffy nipples since you remember- but look normal when they are cold or on water- lower self esteem, negative comments and you hate your body- breasts seem to be fine-

You have a brother or a sister as twin?

I would advise you to do a self examination by pinching to see is there is breast nodule. If gynecomastia is there , only answer is surgery and the Surgeon will be happy to correct this deformity you are talking about.

It is better to go for an ultrasonography and color doppler examination to see what exactly is inside. We have to rule out vascular pathology. If present you can have sclerotherapy.

But I think frankly , you do not need treatment at the moment. It is just an accentuation of the normal appearance and feeling low-esteem is common at your age. Come out of this. You only can think about it.

Get the investigations done and be back to me.
Till then just relax. Eat and exercise well , get engaged into constructive activities.
NO active treatment at the moment is needed.
If you are too conscious, a small surgery to reshape the area can be done.

Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. T Chandrakant (8 hours later)
Hello,
What would be the average surgery cost or average cost for treatment if it were...

-Gynecomastia
-Pseudo-gynecomastia
-Vascular pathology
-etc.
doctor
Answered by Dr. T Chandrakant (43 minutes later)
Brief Answer:
You will have to confirm with local facilities

Detailed Answer:
I am sorry friend, this is outside the ambit of this.
You will have to confirm with the Hospitals or Surgeons in your area.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 14954 Questions

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What causes puffy nipples?

Brief Answer: wait and watch at the moment Detailed Answer: Hi. Thanks for your query an an elucidate history. To recapitulate::: Born premature- now you are 19- puffy nipples since you remember- but look normal when they are cold or on water- lower self esteem, negative comments and you hate your body- breasts seem to be fine- You have a brother or a sister as twin? I would advise you to do a self examination by pinching to see is there is breast nodule. If gynecomastia is there , only answer is surgery and the Surgeon will be happy to correct this deformity you are talking about. It is better to go for an ultrasonography and color doppler examination to see what exactly is inside. We have to rule out vascular pathology. If present you can have sclerotherapy. But I think frankly , you do not need treatment at the moment. It is just an accentuation of the normal appearance and feeling low-esteem is common at your age. Come out of this. You only can think about it. Get the investigations done and be back to me. Till then just relax. Eat and exercise well , get engaged into constructive activities. NO active treatment at the moment is needed. If you are too conscious, a small surgery to reshape the area can be done.