I am male, 46, and have an extended belly, but no fat, no loose skin, none of the indicators that Liposuction and Tummy Tucks are relevant. I have held this bulge in for 25 years, it has never got worse or better, even when I have done sit-ups and Pilates. When I breathe in and pull my muscles in, my stomach flattens nicely to the way it should look; the muscles are in place, not split.
Some websites say this is not uncommon in males and recommend plication; there is no fat I need to have removed and no skin that needs folding or removing. In most respects, my physique is attractive, as long as I hold my stomach muscles in. Is plication indeed an option at this point, or are there other options? I attached a photograph, if it helps.