What are a man's options if his nipples are too pointy?

Tags:man age 18-24 tip too pointy scarring

I'm a 21 year old male and I'm big into fitness so I don't mind showing off my body and if I continue on this fitness path, I think showing my body will be something I'll do more and more of. That is what brings me here to ask about what procedures a man can have to change or reduce the size of his nipples. The area around the nipple is also pointy but only when it's not cold out or not stimulated. The nipple is what's really pointy and that gets worse when it's cold. I'm hoping that there's a treatment that wont leave too much scarring or too dramatically alter the shape of the nipple and area around it. Are there surgical procedures that would fit that criteria? I'm open to learning about all options though. I don't want to limit myself, just in case. I hope you can help.


M, 22, Oregon

The short answer is that this sounds like gynecomastia. It can be treated with a combination of surgical excision of the breast glands and a liposuction of the chest fat.

The longer answer is that it's very common for men to experience some level of gynecomastia over the course of their lives. Gynecomastia is most often caused by an imbalance of testosterone and estrogen. The vast majority of cases of adolescent gynecomastia self correct. For those that do not, cosmetic surgery can easily correct the condition.

Other cases of gynecomastia are the result of excess fatty tissue. While this extra fatty tissue is not the result of a hormonal imbalance, the presentation is the same: protruding nipples and "man boobs". In your case, since you said you are very athletic, obesity is not likely to be the causal factor.

Gynecomastia is extremely common. Most cases of gynecomastia do not cause any long term problems. While gynecomastia does slightly increase the chances of male breast cancer, the overall statistics are extremely low.

I encourage you to arrange a consultation with a board certified plastic surgeon to explore which treatment options are best for you.

Without a direct consultation it's not possible for me to give you any specific answers, but from your question it sounds like you may have gynecomastia. Gynecomastia is a common problem with up to 70% of adolescent males experiencing some degree of physiologic breast enlargement.

The normal male breast contour is determined by a combination of muscle, adipose tissue and glandular breast tissue.

In some men the glandular breast tissue becomes enlarged despite there being no need for breastfeeding or milk production. This enlargement of the mammary glands can make the nipples look pointy or puffy.

In other cases puffy male nipples are caused by excess fatty tissue -- but since you’re very fit, this seems less likely in your case.

During the teenage years it is common for men to experience temporary hormone imbalances between testosterone and estrogen. (All men have some amount of naturally occurring estrogen). When there’s an imbalance between female and male hormones the nipple develops some characteristics of female nipples.

While these hormone imbalances are often temporary, the developed glandular tissue may not be -- in which case plastic surgery can help.

The surgical approaches to gynecomastia include surgical excision and liposuction to remove excess fatty tissue. The procedure is simpler than female breast-reduction surgery as no consideration needs to be given to the preservation of milk ducts or other structures required to create breast milk.

While all gynecomastia surgery requires a surgical incision, scarring is often nearly invisible.

I would advise a direct consultation with a plastic surgeon to explore which treatment options apply specifically to your case.

Nipple reduction in the office under local anesthesia can be a very helpful option for this problem.  Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified.  I've attached a link where you can start your search.  


A simple reduction of the nipple (the projecting part) can be done under local anesthesia in under an hour. You can expect some numbness of the tip of the nipple so if erogenous/sexual sensation of the nipple is important to you, be mindful of this. However, the procedure is very straightforward and healing is usually complete by 8-12 weeks postop.


-- Dr. Sayed

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What you are describing is probably a "puffy nipple" deformity.  Yes, it can be corrected with surgery, which would leave very minimal and hardly noticeable scars.  Please read about puffy nipples on my website exclusively devoted to male chest problems (www.gynecomastianewyork.com) and look in particular for the section (and then photo gallery) concerning puffy nipples.  All your questions will be answered there.

Dr Jacobs