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There are a number of different types of gynecomastia but there are the big three that are the most common. The three most common types of gynecomastia are pubertal gynecomastia, pseudo gynecomastia, and "puffy nipples." Pubertal gynecomastia develops when boys are experiencing puberty and it is a result of the fluctuations in hormones that are experienced during this period in life.