The authors present a man who underwent chest augmentation and nipple pierc
ing. The patient developed chronic nipple infection, which led to unnecessa
ry invasive diagnostic procedures, serious implant infection, and eventuall
y urgent explantation. This unfavorable scenario illustrates the distinct f
eatures of the procedure in men, which includes close proximity of the nipp
le to the implant and reduced awareness by health care providers. Based on
this case the authors recommend avoiding nipple piercing in men with chest
implants.