Need to know what I need I can do? (photos)
Doctor Answers 3
Liposuction, Chest Fat or Gynecomastia, and High BMI
First, congratulations on your weight loss. 294 to 261 pounds is a significant weight loss. However, at 5'11, 261 pounds (18.7 stone) is still quite considerable poundage for your frame. For ANY surgical procedure, it's best to be at a non-obese BMI. Right now your BMI is 36. Having a healthier BMI will help reduce surgical complications and improve your recovery period. For liposuction in particular, it's best to be close to your normal or goal weight before having liposuction.
You mentioned that your weight loss is "ongoing." If you lose the weight on your own versus reducing your chest volume with liposuction, your skin has a better chance to adjust and shrink with you if the elasticity has not been too compromised. However, if the elasticity of your skin has been compromised and it is now loose because it's been stretched out, you will need skin excision/removal surgery regardless of how your chest fat is reduced – with improved nutrition/diet or with liposuction. You commented that your chest already looks better with your weight loss. It may be best to continue on that route and to use liposuction for your fine-tuning. The fact that the appearance of your chest is improving with weight loss is more indicative of extra body fat than gynecomastia.
Lastly, liposuction IS surgery. While there are no big incisions/scars associated with liposuction, it is still surgery just like skin excision is. In the end, you may need a combination of both to get your best result. Of course, a consultation in person will give you the best and safest personalized plan. Best of luck!