Currently I am 57, 6', 200 pounds. What do I ask for? (photos)

In order to correct current skin redundancy and gynecomastia, you will need several procedures that will include breast reduction for gynecomastia, abdominoplasty and liposuction of abdomen and flanks. In person consultation with board certified plastic surgeon is recommended. Good luck.

Thanks for your question and the photos you provided. Congrats on your long term weight loss. In addition to gynecomastia reduction, you can also consider a tummy tuck with liposuction to the abdomen/waistline. Depending on your health status, your plastic surgeon may be able to do everything all at once. Good luck!

Your best answer will come from an in-person or virtual consultation with a board certified plastic surgeon who has a wealth of experience in performing procedures that can result in a leaner, firmer, and more youthful abdominal contour. Lliposuction/liposculpture of the abdomen, sides, and back could be performed to determine if a follow-on TT is required to remove lax skin. Your photos do not indicate a need for a panniculectomy.
Though the conventional teaching has been that liposuction cannot remove breast tissue, I have found that I can remove the breast tissue with liposuction alone. This allows for small segmental reduction of the breast to produce the best contour possible and avoid over resection, cratering, and contour deformities. This also provides for much less scarring and potential poor scarring concerns.

Thank you for your photos. You would certainly benefit from liposuction and glandular excision of the chest -- possibly with skin excision. It is difficult to tell how much fat you have around the abdomen that is amenable to liposuction. If the fat is stored above the muscles this can easily be removed with liposuction. However, if the fat is below the muscles (intra-abdominal fat) then liposuction will have minimal benefit. The only way to tell is through physical exam. Be sure to see someone who has experience in male plastic surgery and has a good reputation so you get the proper procedure.

Dear GaryInId,
based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Flanks liposuction would give you a better shape. I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for the question and photos and you appear to be an excellent candidate for for an abdominoplasty and gynecomastia surgery. So go on some complimentary consultations with experts and compare recommendations after a full examination and discussion of desired results and look at photos of similar patients and become fully informed about the desired procedures

Dr Corbin