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

The #costs will depend on several factors. Such include the geographic location, the skill and experience of the surgeon, and operating room and anesthesia #fees. Approximate #costs can be found on Surgery.org, PlasticSurgery.org, or, here on the Real Self website. Also, the costs are contingent on the specific #procedures being combined in the operation. Such will be discussed in greater length during your one-on-one consultation.

I think your assessment may be right – I can see from the photos that there is significant tissue laxity for both the chest and abdomen. These are the typical key signs that a chest reduction and an abdominoplasty are indicated - but I would highly encourage you to see me or another local board certified plastic surgeon in consultation. Costs will generally run in the $8,000 – $10,000 range for each of those procedures.

Personally, I treat male chest with Vaser ultrasound liposuction, removal of breast tissue and small skin excision if needed.Your abdomen may benefit from Vaser pal as well.An exam and consultation with a plastic surgeon who performs these procedures is recommended to confirm you are a candidate as well as discuss your options and expectations.

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!

From the photos it looks like you would benefit from a total mastectomy with free nipple grafting. In my opinion this will leave you with the best contour. It will result in loss of nipple sensation and possibly some pigment loss. You should discuss this and other options during an in person consultation with a plastic surgeon.

To reduce enlarged breasts in men, at my practice - excision, liposuction, or a combination of both can reshape the chest into a more natural and masculine form.  If a tummy tuck or liposuction is also needed in your case, two surgeries can be performed within one procedure if it is determined safe by the surgeon. I would suggest visiting a board certified plastic surgeon for an in-person consultation. While your photos are helpful, seeing a surgeon in person will get you a more detailed description of what surgical procedures are good for you (i.e. full tummy tuck, mini tummy tuck or liposuction) and also get you an accurate price. We are located in Voorhees, NJ, just about 30 minutes outside Philadelphia. I would be happy to see you for a complimentary consultation.

Based solely on your photo, yes, I think you would definitely benefit from gynecomastia surgery. However, in terms of the abdomen, it is hard to tell whether a tummy tuck or simply weight loss is the solution. Schedule a consultation with a board certified plastic surgeon to be examined in person and discuss. Best of luck.

Provided you are in good health, it seems you could be a good candidate for gynecomastia surgery.  The photos do not indicate whether you have extra glandular tissue, excess fat, or both. When the male breast becomes significantly enlarged, it is associated with skin excess and eventually a sagging, droopy appearance. This condition requires skin removal in most cases, in addition to the removal of breast tissue and excess fat. There are a number of surgical procedures designed to treat gynecomastia with major skin excess.Many patients that I treat have too much breast tissue to remove in a single operation without also removing breast skin. Complete or near-complete removal of excess fibrous and fatty breast tissue would result in a 'deflated' appearance which looks worse that gynecomastia - it looks like bad surgery.

However, if the breast skin is not too droopy, most of these patient can be treated in a staged fashion and achieve an aesthetically ideal or at least vastly improved chest appearance with the same set of invisible or nearly-invisible scars that result from one-stage surgery of Type 2 gynecomastia patients.

The first of the two surgeries is the same as what is described above for Type 2 patients, but the tissue removal by first liposuction and then by direct excision is limited to an amount that is not likely to create a droopy or 'deflated' appearance. Several months are allowed to pass, and during this time the skin of the breast area will contract in most cases as it is less distended by breast and fatty tissue excess.

A second, similar procedure is performed eight to twelve months later, once maximum skin retraction and resolution of all minor residual postoperative swelling has been observed. In most patients an ideal and masculine chest appearance can be achieved without the need for skin excision and the resulting surgical scars.

Staged surgery is perhaps less convenient than a single trip to the O.R., but the opportunity to avoid scars that are essentially not concealable out of a shirt makes the staged approach quite preferable for many patients. When evaluating a gynecomastia patient, I always think to myself "What would I want if I were this patient"? I am certain that if I had the opportunity to dramatically improve my appearance without obvious surgical scars, I would without question choose that option.As far as a tummy tuck, I would need to see more photos from different positions to see if you could benefit from liposuction alone, or even weight loss. A tummy tuck would likely be necessary only if you have excess skin. Your photos do not indicate that that is the case. 

You would benefit from formal resection of the gynecomastia.  In terms of the abdomen, it is impossible to assess whether your situation requires an abdominoplasty, or liposuction, or weight loss.  I do not see clear indications for an abdominoplasty.  See a board certified plastic surgeon in consulation for an assessment.  Good luck!