Hey man, good luck. I went with Dr. Jacobs and had my surgery done last month. You'll be happy with your decision, I think. He's very well-versed in this procedure and has extensive experience with it. He'll get you to where you want to be. Just make sure you follow through with everything you need to be doing post-op.
The first couple of weeks were tough for me. I developed a hematoma on one side, felt extremely uncomfortable, didn't know if I'd be happy with the results, etc... but I really just needed to give it time. After about 4 weeks my swelling and bruising subsided almost completely. I'm still healing now at about 5 1/2 weeks and understand that I'll continue to heal for a few months. It's a process, but things are looking good. The difference between my chest now and what it was pre-op are very noticeable. Even at this stage I could go to the beach if I really wanted to and take my shirt off and I'm 100% sure no one would ever notice or think I even had surgery... nor would they think my chest was in any way abnormal. And things are only going to get better. The tissue under my nipples right now is very solid, but it's going to soften up as time goes and become more natural.
Obviously everyone's results are different and everyone heals differently. But I just wanted to give you a little bit of an idea what to expect. A LOT of things happen during the healing process and your chest is going through changes every day as it heals back up. You always have to keep that in mind. There were some days right after surgery where I felt horrified because I'd take a shower and feel like I looked exactly the same as I did pre-op except now I was sore as hell and had bruises all over my chest and felt numb in some spots. There were a couple of times when I even wondered if the surgery was worth it. But I realized that I wasn't being realistic and I wasn't giving it the time it needed to resolve itself and heal. As of right now, I'm extremely encouraged and loving the results more and more every day. The gynecomastia is finally gone from my life forever and my chest is going to be flat like I've always wanted it to be for the 10 years I suffered.
Bottom line: it's worth it.
Good luck with your op. Let us know how everything goes... and if you have post-op questions while you heal, I'll be perfectly willing to help answer them for you as someone who has just recently been through the same thing with the same PS.