As I have aged, my chest area wraps around toward my armpit. From the side it looks like woman's breast. What can I do? (Photo)

The treatment of #older men with #gynecomastia still follows basic surgical guidelines and principles. First, the patient must be in generally good health. There is no defined upper age limit for gynecomastia surgery. However, medical issues, such as hypertension, diabetes, etc. must be under control prior to surgery. In older men the main difference in the surgery compared with younger men has to do with their skin tone and nipple position. As we get older, we lose #elastin in our skin which leads to decreased tone. Therefore, in certain cases, the gynecomastia surgery in older men will also need to address the loosened skin and possibly #repositioning of the nipple and areola. This will allow for the most ideal contour and a patient who is happy with their results.

Liposuction to contour the chest may be reasonable given your history and pictures.Kenneth Hughes, MDBeverly Hills, CA

Hello,Thank you for your question. It looks like you may have a mild case of Gynecomastia and excess fat settled into the areas you've mentioned. An in-person exam with a board certified Plastic Surgeon will be the best way to find out. They will examine your skin elasticity as well which is important when considering liposuction- remove fat and potentially you are left with more loose skin.  Gynecomastia affects all shapes and sizes of men- slim ones as well. The surgical techniques used to address this can involve excision of glandular tissue, Liposuction for fat, lift/repositioning of areolas. I recommend that you book your in-person consultation with a Plastic Surgeon with lots of experience in this procedure and your age group then find out about your options.All the best

It appears from your pictures that you may have an element of true gynecomastia, but some of your shape is due to lipodystrophy (fat). Gllandular tissue and probably will change very little with exercise or weight changes, but fat will.  Liposuction may be very helpful in your case. It is not usually a serious medical condition, but if you are concerned about the appearance I would recommend that you seek consultation with a board certified plastic surgeon.

I appreciate your concern, but physical exam would be helpful. However, your photo demonstrates possibly mild Gynecomastia which is usually treated by liposuction alone. The scars are small and well hidden. Insurance may or may not cover it, depends on your policy. Check out the link below to an article I wrote about Gynecomastia, as you may find it helpful. Seek out a board certified plastic surgeon in your area, good luck!