How do you get rid of gynecomastia? puffy nipple area. inside there is a hard lump which kind of feels like a cist, but it's not liquid inside of it.

See Plastic Surgeon: First see a board certified plastic surgeon on consultation. You might need surgery, if you have had the gynaecomastia for more than three years (but, let the doctor advise you after examining you).

Plastic Surgery: Gynecomastia, or male brast enlargement, is caused by an over development of the glandular breast tissue inthe breast. It is often also used to describe any enlargement of the male breast, including that from weight gain (primarily fat). The diagnosis is made by physical examination. There are many causes, so if you have a recent, or ongoing, change in breast size, see you doctor.

Surgery Helpful.: If persistent, symptomatic and/or aesthetically displeasing, surgical correction of gynecomastia can be worthwhile. Treatment is individualized depending on the specific patient's situation; involves direct excision of glandular tissue, liposuction surgery, and/or occasionally excision of excess skin as well.