Thank you for your question and for sharing your photos! I would need to examine you in-person to best answer your question. It depends on your goals, but based on your photos, you may be a good candidate for liposuction of your stomach/abdominal area. In a tummy tuck, the skin from the rib cage down to the pelvic area is tightened, the navel is repositioned, and your core muscles can be tightened. However, this requires a larger scar and longer recovery time. With liposuction, fine cannulas are inserted through small incisions to remove fat, but no skin is removed. I use a combination of liposuction techniques, including laser Smart lipo, ultrasonic liposuction and power-assisted liposuction, which can also help to tighten the skin. This could be performed at the same time as your gynecomastia. When performing gynecomastia surgery, I use small incisions hidden in your areola (the pigmented area around your nipple) to recontour the chest. I perform these procedures in our office's fully-accredited operating room under IV sedation administered by board-certified anesthesiologists. I recommend you meet with a fully-trained plastic surgeon who can review which treatment options can best meet your goals. Good luck!