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.