to me it doesn't look too too bad man. I seen much worse... I had much worse....
I was checking some of your other pics. I was looking kind of quickly but you seem to also have some fat that goes a lot to the sides making it look worse. I'm no expert so you have to check with your doc but from my quick look it seems you might do with some additional lipo too. If this is the case make sure your doctor is giving you exactly what you want.... example: you will need gland excision but perhaps you also want him to lipo out anything else that makes you look uneven.
I had much gland to excise but so much fat accumulated in the region of my ribcage that excision and minor lipo was not enough so it required massive amount of work. To the point where general Surgeon wasn't going to do it I had to go right to plastic surgeon. He took out the gland, lipo'd it, lipo'd all the way left and right of my ribs, removed lots of skin, moved everything up and reatacthed the nipples. I look so much better. dare i say... sexier? for me personally absolutely.
How much will you pay? I really dint know.... some say it depends where you get it done, what kind of doc, how much work and such.
You may be looking at somewhere near 4 grand. good be much less... or they could ask for more.
Lastly....what if they screw up and you look worse? In this case thats probably not something to worry as much about. Its not like you are getting a nose job or eye surgery. Even if the results are far less then satisfactory you will most surely look so much better after. You do have to be prepared for the fact that you are going to look different. compared to how you look now. (I know, what am I saying?) well its a tad hard to understand what I mean but a doctor is going to radically change the way you look and it can take mental adjustment. Someone is putting you back together. But this is what you (and I, + everyone else on here wants). You're nipples are going to be redone, they might look slightly different. You may lose a certain amount of nipple sensitivity (not for sure) but they will still respond to elements and will be normal. Surely you will be the only one who notices. What I think is its hard to mess up this kind of thing. You just dont want to be overlipo'd, and you want to your nipples to successfully reattach.