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GYNECOMASTIA PINCH TEST – A Comprehensive Guide By Handa Aesthetics

Gynecomastia also known as “Man Boobs” is a condition in which male breast tissue enlarges because of a hormonal imbalance. When testosterone levels fall and oestrogen levels rise, an imbalance occurs. Certain medical conditions, prescription medications, and other factors can all contribute to this hormonal imbalance.

Gynecomastia symptoms can be unilateral or bilateral, affecting both sides of the male chest. Because a variety of factors can cause enlarged breast tissue, a gynecomastia pinch test is not the same as diagnosing the specific cause of the condition, which is frequently unknown.

Related Blog: Gynecomastia Symptoms | How Surgery can be helpful?

Additional tests to rule out underlying causes of gynecomastia include:

  • A mammogram is a radiologic image of the breast tissue.
  • Blood tests that show liver function, and hormone
  • Urine test
  • A biopsy of the tissue
  • Imaging such as an ultrasound or a CT

Pinch test reveals the patient’s breast tissue. It just takes a few minutes to complete this quick exam, which may be done in-office. The patient will be asked to remove their shirt so that particularly the area around the areolae and nipples, can be felt for any stiff masses. Although the test is painless, some individuals may feel a little uncomfortable, especially if they have sensitive or fragile nipples.

A plastic surgeon would typically administer the gynecomastia pinch test as a preliminary examination during your consultation appointment. In most cases, your surgeon will press on and around the areolae and nipples with their thumb and fingertips

Also Read: Exercise For Gynecomastia

Steps to perform the Gynecomastia Pinch Test In India

To perform a Gynecomastia Pinch Test:

  • Stand shirtless in front of a mirror.
  • Use your thumb and forefinger to gently pinch the breast tissue around the nipple.

Evaluate the thickness of the tissue. If it feels unusually thick or hard, consult a healthcare professional for further evaluation.

What do the results of the gynecomastia pinch test suggest?

Gynecomastia or pseudo-gynecomastia will typically be detected using an early-stage gynecomastia pinch test on the patient. When a plastic surgeon administers the early-stage gynecomastia pinch test, they essentially seek to determine whether the patient’s gynecomastia is brought on by an overabundance of glandular tissue, fat (adipose tissue), or both.

The surgeon will felt A tiny, firm lump beneath the nipple if there is extra glandular tissue present. When pushed, the entire breast will feel spongy if only fat is present. I can frequently sense both textures.

Difference Between Gynecomastia And Fat

Gynecomastia refers to the development of enlarged breast tissue in males. It’s often colloquially referred to as “man boobs” and can result in the appearance of breast-like mounds in the chest area. This condition can be caused by hormonal imbalances, medications, medical conditions, or genetics. Gynecomastia is characterized by palpable glandular tissue beneath the areola, often resulting in a firm or rubbery texture.

Excess chest fat, on the other hand, is simply an accumulation of fat in the chest region. This condition is often the result of an imbalance between calorie intake and calorie expenditure, leading to an increase in body fat. The chest area is one of the common areas where fat tends to accumulate in males. Unlike gynecomastia, excess chest fat does not involve glandular tissue and is generally soft to the touch.

Also read: Gynecomastia vs Chest fat: What is the difference

Reasons Behind Excessive Chest Fat

The accumulation of excess chest fat can result from a combination of lifestyle, genetic, and hormonal factors. Understanding these underlying reasons is essential in managing and addressing this concern effectively. Here are the primary factors contributing to excessive chest fat:

  • Dietary Habits: Consuming a high-calorie diet and excessive junk food can lead to fat accumulation in various body areas, including the chest. Foods high in sugars, saturated fats, and processed carbohydrates can contribute to weight gain and fat storage. Maintaining a balanced and nutritious diet is crucial for managing chest fat.
  • Lack of Exercise: A sedentary lifestyle with minimal physical activity can result in fat gain, as it reduces calorie expenditure. Targeted chest exercises can help tone and strengthen the pectoral muscles.
  • Hormonal Changes: Hormonal imbalances, such as decreased testosterone levels, can affect fat distribution in the body. This hormonal imbalance can be influenced by factors like age, stress, and medical conditions.
  • Genetics: Genetic predisposition plays a role in determining where your body stores fat. Some individuals may have a genetic tendency to accumulate fat in specific areas, including the chest.
  • Aging: With age, metabolism can slow down, making it easier to gain fat. The aging process often results in changes in body composition, with fat gaining prevalence over muscle mass.

How does Gynecomastia Feel like?

Gynecomastia manifests as a distinct physical sensation. When you have gynecomastia, you’ll typically notice a firm or rubbery lump of tissue directly beneath the nipple and areola. This palpable tissue can feel different from the surrounding chest area, which is typically soft due to the presence of fat. Gynecomastia may also be tender or sensitive to touch. The texture and sensitivity are key indicators distinguishing it from regular chest fat.

What happens if you have pseudo-gynecomastia in India?

The word “pseudo-gynecomastia” refers to the condition of having too much adipose tissue (fat) in the breasts but not enough extra glandular tissue (the glands). This is confirmed by the pseudo-gynecomastia gynecomastia pinch test.

If your test reveals pseudogynecomastia, don’t dismiss the possibility of gynecomastia treatment. Many men experience pseudo-gynecomastia in the same way that they experience gynecomastia.

What are the treatment options?

This is often determined by the cause and the results of the gynecomastia test. For example, if a young man in puberty has gynecomastia, it does not require treatment and is a relatively normal occurrence during puberty. Hormones are raging, and young men may simply go through a phase of excess breast tissue that will fade as they grow older and is determined by the pseudo-gynecomastia pinch test.

The next likely area to investigate in a gynecomastia test is overall weight and body fat. If a man has a high level of body fat, losing weight is frequently an effective strategy. Weightlifting and muscle-building exercises can help to tighten the pectoral muscles and reduce overall chest softness.

Gynecomastia can be surgically treated. This is usually the best option for patients who are fully grown, have a healthy BMI, and have no obvious hormonal imbalances or illnesses that could contribute to gynecomastia as determined by a gynecomastia test.

An underlying condition caused if gynecomastia, such as hypogonadism, malnutrition, or cirrhosis, as illustrated by the gynecomastia test, the underlying condition may require treatment.

If you are taking medications that may cause your gynecomastia, your doctor may advise you to discontinue them or substitute another medication after a gynecomastia test.

In adolescents with no obvious cause of gynecomastia other than normal hormone changes during puberty, the doctor will do a gynecomastia test and may recommend periodic reevaluations every three to six months to see if the condition improves on its own. Gynecomastia in adolescents typically resolves without treatment in less than two years.

Treatment may be required following a gynecomastia test if gynecomastia does not improve on its own or causes significant pain, tenderness, or embarrassment.

Surgery to treat gynecomastia in India

The total size of male breasts will decrease after gynecomastia surgery in Delhi. Simple liposuction can be utilised if the cause of gynecomastia is solely fat. Gynecomastia is typically a result of an excess of adipose tissue (fat) and glandular breast tissue.

Liposuction cannot be used to get rid of glandular breast tissue. Typically, it appears as a tiny, hard lump that can be any size—from that of a walnut to that of an egg. Patients will have extremely small incisions on the margin of each areola besides potential liposuction to remove these tiny circular lumps.

Depending on your evaluation and test results, the best choice of procedure will be recommended. To begin evaluator testing and preparations for gynecomastia surgery, make an appointment with a plastic surgeon who specialises in this procedure. Dr Handa runs the nation’s best cosmetic surgery clinic in delhi and is the best plastic surgeon in Delhi.

He has been performing gynecomastia surgery for many years and can advise you on whether this procedure is appropriate for you.


In men with gynecomastia, the chest often has a firm texture, possibly feeling rubbery or solid beneath the skin. It may also have a prominent lump, and the shape of the chest is frequently rounded and balanced, like female breasts.

Exercise can help reduce fat and improve chest appearance, but it may not cure gynecomastia caused by glandular tissue growth. Consult a healthcare professional for proper evaluation and treatment.

High testosterone levels can potentially reduce gynecomastia, especially if the condition is primarily caused by an imbalance between testosterone and estrogen. However, individual responses to hormone levels can vary, and other factors may contribute to gynecomastia. Consult a healthcare provider for a personalized assessment and treatment plan.

True gynecomastia is typically characterized by the presence of palpable glandular tissue beneath the areola, resulting in a firm or rubbery texture. If you're uncertain, seeking a professional medical evaluation is the best approach to confirm whether you have gynecomastia or another condition.

Stage 1 gynecomastia is the mildest form and may not be highly noticeable. It often presents as a small, palpable lump or tissue beneath the areola. While it might not be highly visible under clothing, it can be felt when touched. It's crucial to address gynecomastia at this early stage to prevent progression.

Yes, gynecomastia can typically be felt when flexing the chest muscles. The presence of glandular tissue beneath the areola means that even when the chest muscles are engaged, the gynecomastia tissue remains distinct, with a firmer texture than the surrounding chest muscles or fat. This can make it more noticeable when flexing. However, the visibility of gynecomastia when flexing can vary depending on its severity and the individual's muscle and fat composition.