55-64 year old man treated with Male Breast Reduction

A man in his early 60’s who has been bothered by gynecomastia since puberty. He is bothered by the appearance of his chest in shirts and also with his shirt off at the beach. Skin is not as elastic at his age and will not shrink as well as someone in their 20’s. But loose skin can look like someone who has lost weight and a skin excisional procedure tends to leave a visible scar that is almost always noticeable with a shirt off.
He is shown before and again, 16 months after power assisted liposuction/external ultrasound assisted liposuction.