Male breast reduction and tummy tuck? As a doctor, what do you recommend & how much do you think it would cost? (photo)

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  With that
being said, based on your photographs, you do appear to be a candidate for a male breast reduction and a tummy tuck.   The most important aspect is to find a surgeon you are
comfortable with. I recommend that you seek consultation with a qualified
board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

After examining your photos, I believe your best option is complete removal of redundant skin and breast tissue and then replacing your nipples as a free graft. This is your best option because you have so much skin. Contouring around the area with liposuction may also be necessary. I think you should address your abdominal region with diet and exercise. At 19, I am confident that you can lose the weight on your own.  Be sure to consult with a board certified plastic surgeon for your Gynecomastia surgery. Good luck!