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.