Lipo on chest & stomach but worried about chest looking too flat with visceral fat still there. Any suggestions?

Although your abdomen will not be more prominent the fact that your chest is flatter might make it seems so to you. On balance so I think you'll be pleased with the result.

Thank you for your question. I agree that a combination of liposuction and direct tissue excision will adequately treat your gynecomastia. However, if you are concerned about your chest being "too flat", please discuss this with your plastic surgeon. Perhaps just tissue excision, without the lipo, will give you a look you are more comfortable with. I think the biggest improvement to your stomach will be from weight loss. It appears most of your fat is intra-abdominal so liposuction will only result in mild improvement. Hope this helps and good luck with your surgery. 

I understand your dilemma. There's a single solution that will help both your tummy and your chest - weight loss. Weight loss will improve the contour of your abdomen and chest. To further improve the contour of your chest, weight training will help to build the chest muscles and give you a stronger and more chiseled look. After this, you may only need removal of the gland tissue for correction of gynecomastia. Diet and exercise can be tough to get right and keep up. I would recommend consulting with an exercise trainer - it will pay off.