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

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’s 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 there's a treatment that won’t leave too much scarring or alter the shape of the nipple and area around it too dramatically. Are there surgical procedures that fit this 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.

Tags:man age 18-24 tip too pointy scarring


  • The surgical removal of excess glandular tissue through an excision, liposuction to remove excess fat tissue, or a combination of both may be necessary depending on the severity of your case.
  • Depending on the size and shape of your nipples and the underlying cause of the issue, nipple or areola reduction surgery may be an option.
  • Large male nipples are often caused by gynecomastia, a relatively common condition that can affect men at any point during their lives but is particularly common during puberty.
  • In some cases, large nipples caused by gynecomastia will correct themselves, but if you continue to have enlarged nipples beyond puberty, a surgical procedure will most likely be necessary to remove excess tissue.
  • A plastic surgeon should examine your nipples in person to determine the best approach to reduce their size.

The consensus is based on 7 doctor replies to this question. For more details, scroll down to read them.

Without a direct consultation it's impossible for me to give you any specific answers but 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.

As teenagers 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 treat 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 usually close to invisible.

I would advise you schedule 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

For more info,

Visit Us at    http://www.timsayedmd.com

Email Us at  info@timsayedmd.com

Call Us at     1-858-24SAYED (1-858-247-2933)

Follow us on Twitter and Instagram: @timsayedmd

Tim Sayed has 1 Breast augmentation (Silicone breast implants), Breast lift, Areola reduction, Extended abdominoplasty before & after:

Breast augmentation (Silicone breast implants), Breast lift, Areola reduction, Extended abdominoplasty before image performed by Dr. Tim SayedBreast augmentation (Silicone breast implants), Breast lift, Areola reduction, Extended abdominoplasty after image performed by Dr. Tim Sayed

» View Tim Sayed's full profile

Big male nipples are often caused by gynecomastia, or overdevelopment of the male breast tissue. Gynecomastia is a relatively common condition that can affect many men at some point during their lives. It is most frequently caused by a hormonal imbalance,  medical condition, or because of drug or steroid use.

In some cases the condition will self-correct, particularly among adolescents, but if it persists beyond puberty, a surgical procedure is most likely necessary to remove the excess breast tissue. Men typically have a smaller nipple area than women and enlarged or pointy nipples can cause social anxiety or impact negatively on self-confidence. However, there are several surgical procedures available that can easily and safely correct this condition, restoring the male chest contour.

There are seven types of gynecomastia. Men presenting with type one symptoms typically have enlarged or puffy nipples, but without excess breast tissue. The nipples may be cone-shaped and feel firm or dense due to the presence of glandular tissue beneath the nipple. Enlarged nipples may also be caused by excess fat tissue, although this is unlikely in your case as you are very athletic and fit.

An experienced plastic surgeon will be able to examine your nipples in person to determine the best surgical approach to reduce the size of the nipple: either surgical removal of excess glandular tissue through an excision, liposuction to remove the excess fat tissue, or a combination of both depending on the severity of your case.

Gynecomastia surgery is straightforward and takes several hours on average. It is performed under local or general anesthetic, and most patients experience only mild to temporary discomfort after the surgery, rather than pain. The recovery requires you wear a special compression garment to support your new chest contour. Results are permanent and visible after six weeks, and scarring will be minimal or barely visible if performed by an experienced plastic surgeon.

Nipple hypertrophy or large nipples can be caused by congenital or acquired factors. It can affect the self-esteem of men and, in some cases, can have a psychological impact on patients. Surgery is the most effective way to improve the appearance of protruding nipples, as chest exercises are unable to reduce nipple size and can build muscle beneath the muscle, causing it to protrude even further.

Nipple reduction is a surgical procedure that can effectively reduce overly prominent nipples. Male nipples are generally smaller in diameter and projection than female nipples. Many men prefer that the nipple is almost completely flat and flush with the chest, and nipple reduction surgery can achieve this to create a chest with masculine contours. The patient satisfaction rate for this surgery is high and any scarring can be easily concealed.

The procedure is usually performed under a local anesthetic and requires little to no downtime -- many men return to work the following day. There are a range of effective surgical techniques that can be used to excise excess nipple tissue: if the nipples project excessively, the height of the nipple can be reduced by removing some of the top of the nipple tissue.

If the patient desires reduction of both the height and diameter of the nipples, a wedge resection can be performed in conjunction with a loop excision of the base of the nipple skin. Nipple reduction surgery does cause some scarring, but most scars are imperceptible and will fade over time.

However, it is also possible that you are suffering from gynecomastia and would be a better candidate for male breast reduction surgery. Gynecomastia affects many men, and can be caused by a range of factors such as imbalanced hormone levels. The overdevelopment of glandular breast  tissue causes the nipple to protrude or appear puffy.

Male breast reduction surgery reduces the nipple size by removing this glandular tissue. In some men, excess fat tissue beneath the nipple may be causing the nipple projection, and this can be removed with liposuction. This is less likely in your case, however, because you are highly active and fit.

Schedule an appointment with a board-certified plastic surgeon who specializes in male breast reduction surgery so you can determine the best procedure to meet your goals.

The short answer is that this sounds like gynecomastia. It can be treated with a combination of surgical excision of the breast glands and 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 don’t, 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.

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