What can I do surgically if I'm around 100lbs overweight? I am male and 33 years old.

Hello and thanks for your question. You may want to consider visiting a nutritionist to help you with your diet. If needed a bariatric surgery consultation may be required. Gynecomastia surgery may be helpful for management of your breasts. Good luck. Dr. Burnett

It's difficult to recommend a precise treatment plan without at least seeing pictures.What you describe is a fairly typical male fat distribution. One thing to consider is how much intra-abdominal fat you carry. This is sometimes referred to as visceral fat or gut fat. It represents the fat around our internal organs or intestines and cannot be removed with liposuction or any other surgical procedure. Excess intra-abdominal fat creates a full-looking abdomen that can only be treated through weight loss. For people who have thick layers of subcutaneous fat or fat between the skin and muscle layers, liposuction may be an option. Most weight loss patients typically require some type of skin removal procedure, such as an abdominoplasty. You may well do liposuction, but results are limited if there is skin laxity.Best of luck,Mats Hagstrom, M.D.

You did not state your height, but if you are still 100 pounds overweight after losing 100 pounds, I would consult a bariatric (weight loss surgeon) for an opinion relative to surgical intervention to bring you to your desired weight.  After reaching the best weight you can, you can surgically have a subcutaneous or reduction mastectomy to get rid of the breasts, and tummy surgery to remove the extra skin on you abdomen.  There is hope, and a good result at the end of the tunnel.  Congratulations on your motivation and weigth loss so far.