This is probably more of a vent than anything.
I am 29, I have had this issue since I was 13. Most of it is fat, but I was once 190 and still had this issue. I am 253 lbs, with 180 lbs of lean body mass. I am down 20ish lbs so far in the last 6 months. Still fighting to get to my "before I turn 30" weight of 230. I want to do this surgery no later than this fall. Give the diet more time as I am having success for the first time since college. But also being realistic to the point that I've fought this my whole life. I just want to be able to buy a shirt and not have the purchase depend on how it makes my chest look.
I had picked a doctor.. After a year of emails, offering to fly down. I had to really force him to do a consolation.
I was impressed by his youtube videos. He seemed to know his stuff. But my in person consultation was very different than his youtube videos. First I hear him talking with the nurse, not even trying to hide it, about how I was still fat. Sorry I am overwight, I'm down 20 lbs doc. I am ultra active, biking, crossfit, olympic lifting.. He more or less comes in, honks my breast and starts some spiel about how I can have lose skin or a scar, and that he would do lose skin and figure out the rest later. All the while he can't even make eye contact with me. So, there goes a year of research picking out this dude. I will not hire a surgeon that cannot look me in the eye. He didn't tell me jack squat about my procedure and was out faster than an ER doctor. At the least he had a reasonable price. Though still cannot hire him.
So.. On to the next doc. Find one that is great, also on youtube. I have tried to find doctors off youtube but I swear half of them are showing me samples I've seen on realself, and on 5 other doctors pages. Not to mention none seem to specialize in this. So the doctor tells me everything I want to hear. He is very nice. He is real with me, better results if I lost the weight but he will do it now if I want. It's my life and its not his place to fat shame me. Sweet. Does go into over promise of no sag, no issues, even said I could do crossfit 3 days later (uh huh).. Then we get to the kicker, This dude wants DOUBLE!! I could buy a new car for that amount! His price has gone up steadily like 3k a year according to his youtube videos. Now my procedure is no longer "easy piece of cake" its now a lot of work. Right. Well I look him up and I see on this site doctors talking about how he isn't even board certified. That he has been jacking up his price. (well he did master the marketing game, so supply and demand). Not cool.
So yeah. Back to square one. I just want to find a doctor that isn't rude to me, can do a harder case (not just easy cookie cutter 10% BF job) like me. Give me a result I can live with without lots of weird "sag". I mean I didn't sag at 190? A doc that wont over promise and will be real. Also one that isn't there to fat shame me. Trust me I do enough of that to myself on my own. I live in Austin, but I'm more or less open to anything in the US.