
Millions of men worldwide face the emotional and physical burden of enlarged male breasts, which can make even simple things, like wearing a T-shirt or going shirtless, feel uncomfortable and confidence-shattering. It is called gynecomastia.
Despite regular workouts and healthy eating, many men struggle to eliminate the stubborn fat and glandular tissue that define gynecomastia. That’s because this condition often goes beyond fat; it’s a mix of glandular overgrowth, fatty deposits, and, in some cases, skin laxity. And unfortunately, no amount of dieting can fix that.
Until recently, gynecomastia surgery often meant visible scars, longer downtime, and unpredictable outcomes. But thanks to modern innovations in body contouring, there’s now a far superior solution, one that prioritises precision, invisible scarring, and natural, masculine chest contours.
Introducing the OCCULT Technique by Dr. Rajat Gupta
Developed by India’s leading plastic surgeon, Dr. Rajat Gupta, the OCCULT technique for gynecomastia is a game-changer. Short for Oscillating Cannula Combined with Ultrasound Lipo Through Lateral chest Technique, it combines ultrasound-assisted liposuction (UAL) and power-assisted liposuction (PAL) through a tiny lateral incision, strategically placed along the chest crease, so there’s no scar on the nipple or front chest.
This technique is especially effective for patients who want a sculpted, flat chest without any visible reminder that they had surgery.
In this guide, we’ll walk you through everything you need to know about the OCCULT gynecomastia procedure, from how it works, who it’s for, and why it’s becoming the gold standard for male chest contouring in India and beyond.
Have questions or want to get started? We are ready to help you with a smile!
What is the OCCULT Technique for Gynecomastia?
The OCCULT technique is a revolutionary method of treating gynecomastia that offers scarless chest contouring and highly defined, natural-looking results.
This innovative technique, developed and performed exclusively by Dr. Rajat Gupta, combines two advanced technologies:
Ultrasound-Assisted Liposuction (UAL)
This uses high-frequency sound waves to gently emulsify stubborn fat and loosen glandular tissue. UAL is ideal for treating fibrous chest tissue commonly seen in male patients with gynecomastia. It offers:
- Better tissue separation
- Less trauma to the surrounding areas
- Enhanced skin tightening through heat stimulation
Power-Assisted Liposuction (PAL)
PAL involves a rapidly oscillating cannula that breaks up and removes fat efficiently and safely. Its vibrating motion enables:
- Greater precision in fat removal
- Shorter operative time
- Smooth, even contouring with minimal damage
Together, UAL and PAL allow for complete gland removal and chest sculpting with minimal trauma, reduced swelling, and faster recovery.
The Lateral Chest Incision Advantage
Unlike conventional approaches that make incisions around or on the areola, the OCCULT technique uses a small 5–7 mm incision placed in the natural crease of the lateral chest wall (near the underarm). The benefits of this lateral access include:
- No visible scar on the front chest
- Improved access to glandular and peripheral fat
- Superior contouring of the side chest and axillary tail
- High-definition outcomes, especially for fit or athletic men
This single, strategically placed incision is used for both liposuction and gland excision, making the procedure not only effective but virtually scarless.
The result? A flatter, firmer, and more masculine chest that looks completely natural, like you were born with it.
Why Choose the OCCULT Technique Over Traditional Gynecomastia Surgery?
Traditional gynecomastia surgery often involves making incisions around the areola to access and remove glandular tissue. While effective to an extent, this method comes with certain limitations:
- Visible scarring on the front chest or around the nipples
- Limited access to peripheral fat and axillary tail tissue
- Higher risk of contour irregularities
- Less natural-looking results in lean or muscular patients
- Often requires separate excision of glandular tissue after liposuction, increasing trauma
The OCCULT technique, pioneered by Dr. Rajat Gupta, addresses all these drawbacks with a single, streamlined approach, delivering superior results with minimal downtime and virtually no visible scar.
Here’s how the OCCULT method stands out:
Hidden Scar Placement for a Clean Chest Appearance
The lateral incision is discreetly placed in the natural side chest crease, close to the armpit. Once healed, it blends seamlessly into your skin folds, making the procedure ideal for men who want to go shirtless without any visible signs of surgery.
Dual-Modality Precision (UAL + PAL)
By combining ultrasound-assisted liposuction with power-assisted liposuction, the OCCULT method ensures:
- Complete gland removal, even in tough, fibrous areas
- Enhanced fat emulsification and contouring
- Simultaneous skin tightening through UAL-generated heat
- Less bruising, less swelling, and faster recovery
Simultaneous Fat & Gland Removal
Unlike traditional approaches, where gland excision and liposuction are done separately, the OCCULT technique allows both procedures through the same incision. This:
- Reduces tissue trauma
- Minimises operative time
- Enhances sculpting of the chest and lateral wall
Ideal for High-Definition Male Chest Contouring
Athletic or lean men often seek male chest contouring that enhances their natural muscle lines. The OCCULT technique enables:
- Better definition of the pectoral border
- Natural transition into the axilla (underarm area)
- Flattening without hollowness
Faster Healing, Less Downtime
With fewer incisions, reduced trauma, and improved technique, most patients resume normal activities in a few days and workouts within 2–3 weeks, making it a preferred option for professionals, students, and fitness enthusiasts.
In short, if you’re looking for a scarless gynecomastia treatment that delivers long-lasting, natural-looking results, the OCCULT technique offers the safest, most advanced approach available in India today.
Step-by-Step: The OCCULT Gynecomastia Surgery Procedure
Under the skilled hands of Dr. Rajat Gupta, the OCCULT technique for gynecomastia is a precision-driven, day-care surgery that typically takes 60 to 90 minutes, depending on the severity and symmetry of the condition. Here’s how the procedure unfolds step-by-step:
Step 1: Pre-Operative Assessment & Marking
Every procedure begins with a thorough consultation, clinical assessment, and digital photography. Pre-operative markings are done while the patient is standing, highlighting:
- Glandular volume
- Fat distribution
- Pectoral borders
- Axillary extension
- Natural creases for incision planning
This marking ensures symmetrical correction and guides intraoperative decisions.
Step 2: Lateral Chest Incision
A small 5–7 mm incision is made along the natural side chest crease, just behind the anterior axillary line. This location is crucial, as it allows complete access to:
- The central chest fat
- Sub-areolar gland
- Lateral and axillary tail fat
And most importantly, it ensures no scar on the front chest, preserving a natural, scarless look.
Step 3: Infiltration (Tumescent Solution)
A specially prepared fluid containing saline, lidocaine (a local anaesthetic), and epinephrine (to reduce bleeding) is infiltrated into the chest tissue. This:
- Numbs the area
- Minimises bleeding
- Prepares fat for easier removal
Step 4: Ultrasound-Assisted Liposuction (UAL)
Using ultrasound-assisted liposuction, high-frequency sound waves are used to:
- Break down tough, fibrous fat and glandular tissue
- Emulsify the fat for smooth extraction
- Stimulate dermal collagen for natural skin tightening
This step is particularly effective in Grade II gynecomastia, where gland-fibrous tissue dominates.
Step 5: Power-Assisted Liposuction (PAL)
A power-assisted cannula (which oscillates at high speed) is used to suction out the emulsified fat and loosened glands with:
- Greater precision
- Uniform results
- Minimal trauma to surrounding tissues
This ensures optimal sculpting, especially around the pectoral borders and axillary tail.
Step 6: Gland Removal via the Same Incision
Using a blunt dissector, the remaining glandular tissue, especially sub-areolar, is gently extracted through the same lateral incision. This avoids any need to cut through the areola or leave a visible scar.
Step 7: Chest Contour Refinement
Final sculpting is done to:
- Restore chest flatness
- Maintain the natural pectoral curve
- Avoid hollowness or indentation under the nipple
Drains are usually not needed, and the incision is closed with absorbable sutures.
Step 8: Compression & Recovery
A custom compression garment is applied immediately after surgery to:
- Control swelling
- Support healing tissue
- Maintain the newly sculpted chest contour
Patients are monitored for 2–4 hours post-op and discharged the same day.
With this refined approach, the OCCULT gynecomastia surgery offers unmatched precision, comfort, and aesthetics, allowing patients to return home the same day with confidence.
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Who is the Ideal Candidate for the OCCULT Technique?
Not every man with chest fat needs surgery. But if you’re struggling with persistent gynecomastia that doesn’t respond to diet or exercise, and want a scarless, natural-looking solution, the OCCULT technique could be perfect for you.
Here’s an understanding of the best candidates:
Persistent Glandular Gynecomastia (Grade II or III)
If you’ve already tried to reduce your chest with weight training or cardio and your nipple area still protrudes, chances are you have dense glandular tissue, not just fat. The OCCULT technique is designed to precisely target and remove that gland without leaving a scar on the nipple.
Men with Athletic or Lean Bodies
If you work out regularly and have well-developed chest muscles, visible scars or irregularities from traditional gynecomastia surgery can ruin the aesthetic. OCCULT offers high-definition chest sculpting with a hidden incision that preserves your muscular look.
Men with Asymmetrical Gynecomastia
One side bigger than the other? You’re not alone. OCCULT allows precise correction of asymmetry, with targeted fat removal and sculpting to ensure your chest looks naturally balanced.
Those Seeking a Scarless Outcome
If the thought of having a scar on your chest is stopping you from going ahead with surgery, the lateral chest incision used in OCCULT is practically invisible once healed. Perfect for professionals, models, actors, and fitness enthusiasts.
Patients with Stable Body Weight (BMI < 30)
A stable BMI under 30 ensures the safest outcomes and most aesthetic results. OCCULT works best when fat and glandular tissue can be cleanly removed and the underlying muscle shape revealed.
Who May Not Be a Suitable Candidate?
- Men with excess skin laxity (Grade IV gynecomastia): They may need skin excision along with liposuction.
- Obese patients with large amounts of visceral fat (inside the chest wall): OCCULT doesn’t address deep internal fat.
- Patients with untreated hormonal imbalances or liver/kidney issues: A full health evaluation is needed before surgery.
A personalised consultation with Dr. Rajat Gupta ensures proper diagnosis and planning. He’ll determine if OCCULT is the best option or recommend a modified approach suited to your anatomy.
Recovery Timeline & Post-Operative Care After OCCULT Surgery
One of the biggest advantages of the OCCULT technique for gynecomastia correction is the rapid recovery and minimal discomfort it offers. Thanks to the combination of ultrasound-assisted and power-assisted liposuction, and a single, small lateral incision, most patients bounce back to their routine faster than with conventional methods.
Here’s what you can expect after surgery:
Day 0: Surgery Day
- The procedure is done under general or local anaesthesia.
- Patients are monitored post-operatively for 2–4 hours.
- You can walk out of the clinic the same day.
- A compression garment will be applied immediately to support healing.
Day 1–3: Rest & Light Activity
- Mild discomfort, tightness, and swelling are expected.
- Oral pain medications and antibiotics are prescribed.
- Most patients can resume non-strenuous desk work in 2–3 days.
- No lifting heavy objects or overhead arm movements.
Day 3–7: Lymphatic Drainage Massage
- Gentle lymphatic massage may be initiated to help reduce swelling and improve circulation.
- Most swelling starts to subside by the end of the first week.
Week 2–3: Resume Light Workouts
- Walking, stretching, and lower body exercises can be resumed.
- Upper body workouts are still restricted.
Week 4–6: Return to Full Activity
- Most patients can return to full gym routines, including chest and shoulder workouts.
- A compression garment may still be worn at night for support.
- Final shape begins to emerge by week 4, but full definition may take up to 3 months.
Compression Garment Instructions
- Worn 24/7 for the first 3–4 weeks.
- Then worn during the day for the next 2 weeks.
- Aids in skin retraction, reduces swelling, and maintains your new chest contour
Scar Care & Maintenance
- Since the incision is placed in a hidden crease, it’s barely visible once healed.
- Scar creams and silicone gels may be advised after the second week.
- No need to worry about visible areolar scars or pigmentation changes.
Follow-Up Appointments
- Typically scheduled on Day 3, Day 7, Week 3, and Week 6.
- Rajat Gupta will personally monitor healing progress and guide you at every step.
Note: While results are visible within 2 weeks, final chest contouring and definition can take 2–3 months as residual swelling resolves and the skin adjusts.
With meticulous technique and structured aftercare, OCCULT gynecomastia surgery delivers not just a flat chest, but one that looks naturally masculine, sculpted, and scar-free.
Before-After Results & Patient Testimonials
The OCCULT gynecomastia technique has transformed the lives and bodies of hundreds of men across India and abroad. With zero visible scarring and sculpted chest contours, patients are finally able to shed the burden of embarrassment, regain their self-confidence, and wear fitted clothes (or go shirtless) without hesitation.
What Results Can You Expect?
Thanks to the precision of ultrasound-assisted liposuction (UAL), power-assisted liposuction (PAL), and the hidden lateral incision, most patients experience:
- Completely flat chest contour
- No crater deformity under the nipples
- No visible scar on the front of the chest
- Improved pectoral muscle definition
- Correction of asymmetry and lateral chest fullness
- Natural skin retraction with no sagging
The results are permanent, provided you maintain a stable weight and a healthy lifestyle.
What Our Patients Are Saying
“Confidence restored! My chest looks natural and defined.”
I didn’t want anyone to know I had surgery. Dr. Rajat’s OCCULT technique gave me that confidence. No one can tell. Not even my gym buddies!
– Vikrant S., 29.
(Real Patient / realself.com)
“No scars, no stress—just the masculine look I wanted.”
The chest is finally flat, sculpted, and I can wear slim shirts now without being self-conscious. Massive thank you!
– Ayaan M., 26.
(Real Patient / realself.com)
These stories are just a glimpse of the real, lasting transformations delivered by the OCCULT technique, a fusion of surgical innovation and aesthetic artistry by Dr. Rajat Gupta.
Cost & Booking Information for OCCULT Gynecomastia Surgery
Investing in gynecomastia surgery isn’t just about physical appearance; it’s about confidence, comfort, and control over your body. At Dr. Rajat Gupta’s practice in Delhi, you get more than just a procedure. You receive a scientifically advanced, internationally recognised solution, the OCCULT technique, that ensures scarless, natural, and long-lasting results.
What Is the Cost of OCCULT Gynecomastia Surgery in Delhi?
The cost of gynecomastia surgery using the OCCULT technique depends on several factors:
- Grade and severity (I to III)
- Gland-to-fat ratio
- Whether one or both sides are affected
- Body type and chest size
- Additional fat sculpting is required on the axillary tail or lateral chest
On average, the price range is:
₹85,000 – ₹1,50,000
This includes:
- Consultation with Dr. Rajat Gupta
- Operation theatre and anaesthesia charges
- Compression garment
- Post-operative follow-ups
- Pre and post-surgery care guidelines
A personalised cost estimate is provided after clinical evaluation during consultation.
Financing & Payment Options
We understand that cosmetic surgery is a personal decision. That’s why we offer:
- Transparent, all-inclusive packages
- Flexible payment options
- Guidance on medical finance or EMI support (if applicable)
Why Choose Dr. Rajat Gupta for Gynecomastia Surgery?
- Internationally renowned and published plastic surgeon
- Innovator of the OCCULT gynecomastia technique
- Over 500+ gynecomastia surgeries annually
- Use of high-definition liposuction tools: UAL + PAL
- Minimal downtime, no visible scar, and day-care discharge
- Personalised care from consultation to recovery
Ready to Book Your Consultation?
You’re just one step away from a flatter, masculine chest, without scars or shame. Start with a one-on-one consult with Dr. Rajat Gupta, where your condition will be assessed, and your treatment plan tailored using the OCCULT approach.
Frequently Asked Questions (FAQs) About OCCULT Technique for Gynecomastia
OCCULT stands for One-Cut Combined Ultrasound & Liposuction Technique. It’s an advanced, minimally invasive gynecomastia surgery technique that removes gland and fat through a single, hidden lateral incision using ultrasound-assisted and power-assisted liposuction. The result is a scarless, natural-looking chest without distortion or crater deformity.
Traditional gynecomastia surgery involves making a visible incision near or around the areola to remove the gland, which can leave scars. OCCULT avoids this by accessing the gland through the side chest fold, leaving no front-facing scars. It also combines high-precision UAL and PAL devices for superior gland removal and contouring.
The only incision made is in the lateral chest crease, which becomes nearly invisible after healing. There are no incisions on or around the nipple, making this ideal for individuals who want a discreet outcome.
Most patients report minimal pain or discomfort. Because it’s done using high-precision, minimally traumatic tools (UAL & PAL), recovery is quicker and gentler. Oral painkillers are usually sufficient during the first few days.
You can start light activity within 3–5 days, and lower-body workouts after the first week. Full gym routines, including upper body and chest workouts, can typically be resumed after 4–6 weeks, based on healing progress.
Yes. Once the glandular tissue is removed, it doesn’t grow back. Fat removal is also permanent, provided you maintain a stable weight and a healthy lifestyle. The results are long-lasting and continue to improve as swelling subsides.
This can be confirmed during your consultation through clinical examination and, if needed, an ultrasound scan. Glandular gynecomastia typically feels firmer under the nipple, while fat feels softer and more diffuse. OCCULT is ideal for removing both with precision.
Absolutely. OCCULT allows for targeted gland removal and fat sculpting on each side independently, enabling correction of uneven chest contours and nipple positioning.
Men aged 18 to 50 with a stable BMI under 30 and good skin elasticity are ideal candidates. Patients with major weight fluctuations or significant skin sag may need additional procedures like skin tightening.
Simply book a consultation with Dr. Rajat Gupta at RG Aesthetics, Delhi. He’ll perform a detailed assessment, explain your chest anatomy, and customise a treatment plan using the OCCULT approach.
Dr. Rajat Gupta
MBBS, MS, DNB(Gen. Surg.),
DNB (Plastic Surgery)
Dr. Rajat Gupta is a board certified plastic surgeon in India with 15 years of experience to back his expertise in the domain of aesthetic surgeries.
Having completed his training from Maulana Azad Medical College and equipped with a thorough understanding of aesthetic needs of people, Dr. Gupta strives to offer the best remedies and cosmetic procedures outfitted with the latest technology to the aspirants in India and across the globe. To book an appointment, call: +91-9251711711 or email: contact@drrajatgupta.com