What's the best way to treat gynecomastia?

I am very confused if I should do the gynecomastia surgery or not. I currently have puffy nipples (gyno) from puberty, I am a bodybuilder so I am planning to take AAS, however I have read that even after surgery gyno can re-occur, and if the gland was completely removed it can cause caved-in nipples which is another problem on its on.

Is it possible to have the gland completely removed and not have any other side effects from doing so (inverted nipples)?

user1315314

M, 42, Bahrain

Tags:man age 35-44 nipples puffiness side effects gynecomastia exercise

Properly preformed surgery by an experienced gynecomastia surgeon should be able to eliminate the puffy nipples without a crater deformity. However, there are absolutely no guarantees.


Also, realize that surgery removes the EXCESS tissues which you do not like.  It is not a cancer operation and does not and can not remove all breast tissue.  If a surgeon tried to do that, your chest would be mutilated.  Therefore, you can be assured that you will have some scattered breast tissue remaining on your chest after appropriate gyne surgery.  If you continue with AAS, there is a good chance that the breast tissue may enlarge post-operatively


As a guy and not as a surgeon, I would have the surgery to remove the puffy nipples and build my body naturally without AAS.  Your choice.


For further information about gynecomastia, please consult my website which is exclusively devoted to gynecomastia:  www.gynecomastianewyork.com


Good luck!


Elliot W. Jacobs, MD, FACS

New York City


Dr. Elliot Jacobs has 3 Gynecomastia reduction before & afters:

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Gynecomastia surgery, properly performed, can typically correct the problem without indenting the nipples. You may have some enlargement again if you continue AAS, but the degree of enlargement would be less if you have already had the majority of excess tissue removed. Some residual breast fat and gland typically remains (in order to preserve blood supply and some normal shaping of the male breast) after gynecomastia surgery.


-- Dr. Sayed


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Gynecomastia can recur after surgery, especially if what is causing it is still present.  You can also have sunken in nipples after the surgery, but if done correctly it is not common.  It is important for you to realize is that no surgery is guaranteed, nor is any surgery risk free.  

Dr. Gary Breslow has 1 Gynecomastia reduction before & after:

Gynecomastia reduction before image performed by Dr. Gary D. BreslowGynecomastia reduction after image performed by Dr. Gary D. Breslow

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