A flatter, more balanced chest, planned around your body
A puffy chest that won’t shift, however hard you train, is frustrating. Often the reason is gynecomastia (enlarged male breast tissue), not just fat. At Aesthetics Redefined by Cocoona on Golf Course Road, DLF Phase 1, our plastic surgery team first finds the cause. Then we suggest what fits you, from lifestyle changes to male breast reduction surgery.
What Is Gynecomastia?
Gynecomastia is the growth of glandular breast tissue in men, felt as a firm disc under the nipple. Unlike soft chest fat, it rarely shrinks with weight loss. It can appear in the teens or adulthood, on one side or both. Sometimes they are also called puffy nipples.
Signs include:
- A fuller or enlarged chest
- A firm lump beneath the nipple
- One side bigger than the other
- Tenderness or sensitivity
- A wider or puffy areola in some men
Gynecomastia vs Chest Fat: What’s the Difference?
| Gynecomastia | Chest Fat |
| Growth of glandular breast tissue | Mostly extra fatty tissue |
| Often feels firm under the nipple | Feels soft all over |
| Occurs even at healthy weight | Usually linked to weight gain |
| Exercise may not reduce it | Weight loss often helps |
| May need medical or surgical care | Lifestyle changes may be enough |
Fat alone is called pseudogynecomastia. Many men have both.
What Causes Gynecomastia?
- Hormonal changes (oestrogen and testosterone imbalance)
- Puberty
- Weight gain
- Certain medicines
- Anabolic steroid use
- Alcohol or recreational drugs
- Liver or kidney conditions
- Hormonal disorders
Sometimes, no cause is found.
Medical Note: Sudden, painful or growing enlargement should be checked by a doctor.
Types and Grades of Gynecomastia
Grade 1: Small enlargement, no excess skin.
Grade 2: Moderate enlargement, more visible tissue.
Grade 3: Larger enlargement, possibly with loose skin and drooping (ptosis).
How Is Gynecomastia Diagnosed?
It starts with a consultation and examination, plus where relevant:
- Medical and medication history
- Checking gland versus fat
- Hormone tests, where appropriate
- Ultrasound or imaging, when clinically needed
Not everyone needs tests.
Gynecomastia Treatment in Gurgaon
Treatment depends on the cause, grade, and amount of gland, fat and skin.
- Lifestyle and Weight Management
Weight loss can reduce the fatty part. Established gland usually remains.
- Medical Evaluation
If a medicine or hormone issue is suspected, that cause is treated first.
- Gynecomastia Surgery (Male Breast Reduction)
For persistent cases, surgery may involve:
- Liposuction to remove excess fat
- Gland excision to remove the firm tissue
- A combination of both
- Skin reduction where loose skin is significant
SECTION 8: Gynecomastia Surgery Procedure
Step 1: Consultation & Assessment
Your surgeon checks the chest, skin, gland, fat and overall health.
Step 2: Treatment Planning
The technique is matched to your anatomy and grade.
Step 3: Liposuction / Gland Removal
Fat, gland or both are removed through small incisions.
Step 4: Chest Contouring
The chest is shaped evenly, keeping the nipple and areola natural.
Step 5: Recovery & Follow-Up
You get aftercare advice, a compression garment and follow-up visits.
