Lost weight, chest hasn't reduce but become more prominent. What are my options?

[GynoThrowaway]

Last year I began to lose weight, and i've lost around 6 or 7 stone (90 pounds) since my largest. I now weight 72 kilos (160 pounds)
.
At first glance (and I know the quality of the images are poor), I believe the gynecomastia is quite severe. I wanted to know if there was anyway I could reduce it without surgery? To lose the weight, i've been going to the gym - but it hasn't really been helping.

I have acknowledged I have quite a bit of excess skin around my chest region, and if my gynecomastia is removed surgically, I would have even more excess skin. How could that affect the surgery, final image, and cost?

Thanks

Pictures: http://imgur.com/a/WjRfZ

[Dr. Elliot Jacobs]

Typically, weight loss doesn't make your gyne disappear -- it changes them.  They will be slightly smaller, more droopy and perhaps even more prominent contrasted to your now slimmer body.  No amount of exercise will tighten them.  And now that you are healthier, you have a choice of either living with your chest as it is or having surgery of some type to improve your chest.  As Yoda said, "Either do or don't do -- there is no try."

Dr Jacobs

[GynoThrowaway]

Typically, weight loss doesn't make your gyne disappear -- it changes them.  They will be slightly smaller, more droopy and perhaps even more prominent contrasted to your now slimmer body.  No amount of exercise will tighten them.  And now that you are healthier, you have a choice of either living with your chest as it is or having surgery of some type to improve your chest.  As Yoda said, "Either do or don't do -- there is no try."

Dr Jacobs

How bad do you think this gyne is?

[Dr. Elliot Jacobs]

"Badness" is in the eye of the beholder -- only you can judge how "bad" it is.

Dr Jacobs

[GynoThrowaway]

"Badness" is in the eye of the beholder -- only you can judge how "bad" it is.

Dr Jacobs

I meant from a medical perspective. Is this mild, or not?

Thanks

[Dr. Elliot Jacobs]

Moderate.

Dr Jacobs

[Litlriki]

Congratulations on your weight loss.  I would agree that your gynecomastia is moderate, but it doesn't look like something that will resolve with additional weight loss or exercise.  It's also possible that you'll need some skin removal at the time of your surgery.  You should do your research and find a qualified gynecomastia surgeon, as your case is a challenging one.  

[GynoThrowaway]

Congratulations on your weight loss.  I would agree that your gynecomastia is moderate, but it doesn't look like something that will resolve with additional weight loss or exercise.  It's also possible that you'll need some skin removal at the time of your surgery.  You should do your research and find a qualified gynecomastia surgeon, as your case is a challenging one.  

How is skin removed, from where, and what about the scarring?

Thanks

[Dr. Elliot Jacobs]

Skin is removed from the area in which there is excess, namely the breast skin itself.  There are a few techniques to accomplish this -- and it is too technical to try to describe here.  Suggest you consult with a gyne expert to learn about all your options, the pros, cons, anticipated scars and potential results.  Ask to see some photos of patients who have had each of the techniques described.

Dr Jacobs