Best surgery procedure for this gynecomastia

[gyne28]

Hi,
I am 28 years old from Mumbai, India. I have gynecomastia since i was 12. Recently on 8th Nov 2011 i had visited a plastic surgeon who is known gynecomatia doctor. After checkup he told me that he perform excision, liposuction & skin tightening on me. He told that my gland size is big enough & my weight is not constant so skin tightening is must. But i am pretty doubtfull on skin tightening as this required on very severe cases & i think mine is not so severe.Might be he may be correct in order to avoid carter deformation or any skin loosening effect in future.
My details:
Weight: 68 kg (+/- 3-4 kg quick weight fluctuations)
Height: 5.8 ft
Skin type: Loose & soft than normal man skin

I have pasted my recent pics.Please have a look & let me know the best surgery procedure to be performed on me.

[shreyas24]

Hi,
I am 28 years old from Mumbai, India. I have gynecomastia since i was 12. Recently on 8th Nov 2011 i had visited a plastic surgeon who is known gynecomatia doctor. After checkup he told me that he perform excision, liposuction & skin tightening on me. He told that my gland size is big enough & my weight is not constant so skin tightening is must. But i am pretty doubtfull on skin tightening as this required on very severe cases & i think mine is not so severe.Might be he may be correct in order to avoid carter deformation or any skin loosening effect in future.
My details:
Weight: 68 kg (+/- 3-4 kg quick weight fluctuations)
Height: 5.8 ft
Skin type: Loose & soft than normal man skin

I have pasted my recent pics.Please have a look & let me know the best surgery procedure to be performed on me.

The best surgery procedure is Gynaecomastia. Through this procedure excessive fat tissues can be removed and if you have loose skin it can also tightened. 

[TomJones]

This should not be in a poll. This should be in the ask a doctor section.

[Dr. Elliot Jacobs]

I have  operated on many men similar to you.  Although you do have fairly substantial excess tissue, your age is a very positive factor in that your skin has a lot of elasticity.  If you were my patient, I would not do any skin tightening -- it will leave permanent scars on your chest.

Perhaps you should look around for another opinion.

Dr Jacobs