Need work on man boobs and tummy tuck. What is the best course of action? (photos)

Thanks for your question. From your pictures, you seem to be a good candidate for a tummy tuck and gynecomastia surgery. Keep in mind that for this type of surgery you would need to meet the Max BMI limit and cleared for surgery by your physician. I recommend scheduling a consult for a proper evaluation. Please always consult with a board certified plastic surgeon. Take care, Dr. Moises Salama, board certified plastic surgeon.

Thank you for your question and for sharing your photos. Based on your images, it looks like you have excess skin and fat in both the abdomen and chest areas, and there are effective procedures to address both concerns.

For your abdomen, a tummy tuck (abdominoplasty) is the best course of action. A tummy tuck will remove excess skin and fat, reposition the belly button, tighten the abdominal muscles (rectus muscle plication), and elevate and reduce the pubic area. This will provide a flatter, more contoured midsection.

In regards to your chest, it appears that you have excess skin and fat in the male breast area, which is sometimes referred to as gynecomastia. Liposuction alone would not be sufficient for you, as it would leave you with excess skin that would sag. Therefore, skin excision is necessary. The best approach involves an incision placed beneath the breast, where the chest meets the abdomen. Through this incision, the excess skin and fat can be removed, flattening the chest. Additionally, the nipple-areolar complex can be reduced in size and repositioned during the same surgery for a more natural, masculine appearance.

Both procedures—tummy tuck and male breast reduction—can be performed at the same time. You'll need about two weeks of recovery, with drains typically staying in place for 7 to 10 days based on your healing progress. A compression garment will be required for around 6 to 8 weeks to support healing and ensure the best possible results.

I hope this helps guide you toward your goals, and I wish you the best of luck in your surgical journey.

Sincerely,
Dr. Katzen

From the submitted photos, internal/visceral fat is contributing the contour of the abdomen. This cannot be addressed by a tummy tuck or liposuction but is improved through weight loss. A tummy tuck to remove excess skin, subcutaneous fat, and repair of abdominal wall laxity will improve the abdominal contour. A gynecomastia procedure will remove excess fat and skin from the chest. Visit with a board certified plastic surgeon near you to learn more.