Underarm fat axillary region correction male chest. What are my options for the best result? (photos)

Liposution of the axillary area, under chest, and wall of the chest would be beneficial with fat grafting to your upper chest to lift and build out the chest so you don't look so flat or what i called the "sad chest" look.  I suggest you see a body contouring specialist for treatment and not just someone who does liposuction.  Also, someone who's practice is solely body contouring and set up for these types of cases. Best, Dr. Emer.

I think you might actually be good candidate for liposuction and fat transfer to the chest. From you photos I'm not convinced the issue is a skin issue. I think it's more of a fat distribution issue. As long as you are exploring options you should add fat transfer to your research. 

...I don't have good news for you: all the "alternative miraculous" options given are useless, you are candidate only of dermolipectomy with long and visible scars running all your breast and reaching the armpit; it is a safe and highly successful treatment, the downside is the scarry sequel, give it a think.

It is always recommended to have a face-to-face consultation with a provider in order to determine if you would be a good candidate for CoolSculpting and how many treatments you may need. Keep in mind that CoolSculpting is not a weight loss method and in no way replaces diet and exercise. It also is not meant to help tighten loose skin. CoolSculpting targets the subcutaneous fat underneath the skin and not the internal visceral fat.During the consultation, the health care provider will visually assess the fat in order to determine if the person needs debulking or sculpting. The physician will physically assess the orientation of the fat by pinching and feeling it. A good candidate for CoolSculpting is anyone with pinchable fat that can be grabbed and pulled away from. There is a 20-25% fat reduction in the treated areas. Patients are usually brought back at the 30 days mark to assess their results. At that point, the patient and physician can communicate and determine if additional treatment might be needed for optimum result.