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!