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They were about as big as a woman’s finger ring, and they were gold. Nipple and Genital piercings are still often utilized as part of the collaring ritual, and I’ve helped many a client get matching wedding pieces for their septum piercings or ear piercings. Whether it’s puffiness, tenderness, or asymmetry, guys’ nipples can become a source of concern, embarrassment, or even discomfort.

A physical exam and imaging are often needed to determine the cause.

5. Inverted or Retracted Nipples

Some men have naturally inverted nipples, but if a nipple suddenly retracts or changes shape, it should be checked by a medical provider.

Is It Gynecomastia?

If your nipples appear swollen, puffed-out, or areola is elevated, it could be a form of gynecomastia—a benign enlargement of male breast tissue caused by a hormonal imbalance between estrogen and testosterone.

Gynecomastia may present as:

  • Puffy nipples only (Type 1)
  • Glandular masses beneath the nipple
  • Overall chest fullness or asymmetry

At our practice in Newport Beach, we specialize in identifying and treating all types of gynecomastia—especially puffy nipple cases, which are often overlooked but have a big emotional impact.

When to Seek Treatment

You should speak to a medical provider if you notice:

  • Persistent puffiness or chest swelling
  • Unilateral (one-sided) changes
  • Discharge or pain
  • No improvement with diet or exercise

If the tissue has been present for over a year, it’s likely permanent glandular tissue, which can only be removed with surgery.

Treatment for Puffy or Enlarged Guys Nipples

Gynecomastia Surgery is the most effective solution for men dealing with persistent nipple issues caused by gynecomastia.

With roots in BDSM, specifically gay BDSM, this mentality began to spread to other practices, such as piercings. The man who did the ceremony and the piercings, he used a little glue on the ball ring so it wouldn’t come out easy, it was permanent-like. I tried to visit (California) often, it really was a gay paradise compared to suburbia where I lived!

However, ongoing tenderness or swelling should be evaluated—especially if it’s accompanied by changes in size or shape.

3. Lumps or Firm Tissue

A firm mass under the nipple can be glandular tissue related to gynecomastia, or—rarely—a benign or malignant growth. Our surgical approach includes:

  • Gland excision through a small incision at the base of the areola
  • Optional liposuction for fat contouring
  • Minimal scarring and rapid recovery

This outpatient procedure takes 1–2 hours, and most men return to work in just a few days.

I love that piercings can play a big role in celebrating our love, and specifically their history of doing so in queer culture.

“Even when we eventually did get married and got real wedding bands, I always said the nipple ring meant more since I wore it over my heart. Meant he was always in my heart.”

*Names changed for privacy purposes.

Guys Nipples: When to Take Action

May 8, 2025

Guys Nipples: What’s Normal, What’s Not, and When to Take Action

Most men don’t give their nipples much thought—until something changes.

Whether it’s puffiness, tenderness, discharge, or visible changes, many men wonder what’s normal for guys nipples and what could be a sign of a condition like gynecomastia.

In this guide, we take a closer look at guys nipples, how they function, what common issues can arise, and when it’s time to take action.

Understanding the Male Nipple

Though guys nipples don’t serve the same biological purpose as female nipples, they’re developed during early fetal growth before sex-specific hormones begin shaping male or female traits.

While many nipple-related changes are harmless, others may signal an underlying condition such as gynecomastia.

In this guide, we’ll explore everything you need to know about male nipples—what’s considered normal, what changes to watch for, and when it might be time to seek expert evaluation or treatment.

What’s Normal for Guys’ Nipples?

Like all people, men are born with nipples, which develop early in the womb before sex hormones are activated.

We’ve helped thousands of men regain confidence with targeted gynecomastia procedures.

Contact us today to schedule a gynecomastia consultation with Dr. Joseph Cruise in Newport Beach. It was something special. Puffy nipples can occur even in fit, lean men and are often resistant to diet or exercise.

2. Tenderness or Soreness

Mild soreness is common during puberty or after intense chest workouts.

So subtle messages of signaling one's sexuality were devised.

nips gay

I asked my client if this was a fairly common practice at the time.

“If you were the kinky side of queer, sure enough. In adults, however, glandular tissue does not go away on its own and typically remains unless removed surgically. I thought it was the hottest thing ever.