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Breast buds can lead to "puffy nipples," really the enlargement of the areolae rather than the nipple proper. Gynecomastia reduction surgery can remove the disproportionate breast tissue and masculinize the chest.

Breast buds can lead to “puffy nipples,” really the enlargement of the areolae rather than the nipple proper. Gynecomastia reduction surgery can remove the disproportionate breast tissue and masculinize the chest.

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