Sorry to read of your dilemma Mtn&Road.I cannot advise you firsthand as I don't have that problem. However, my husband is a surgeon & I asked him about it once after I'd read it in a magazine. He doesn't perform this type of surgery (he's a neurosurgeon) but has heard about the procedure. I thought it was just a matter of trimming a little skin, but he says it's more complicated than that. He has heard of "stuff ups" & would advise anyone to thoroughly shop for a good surgeon. Don't go with the first one you see but get at least 3 opinions. I know this is time consuming (& you sound like you want it over & done with) but it'll be a life time of relief if you pick the right person... & a life time of hell if you don't.
You're right, the girls here are terrific when it comes to discussing things you can't bear to discuss with anyone else. I can feel your anxiety & I wish you all the best whatever you decide to do.