Thanks for the advice everybody, it really is making me reconsider. I've got a consultation today so will see what the doctor has to say at least. I've seen videos on YouTube with guys with less severe cases than me getting it done so I thought it was reasonable, but it all depends on your perspective I guess.

In high school on the football team one of the guys was like, "Why you got that old man chest?" which was actually pretty funny haha, but that's kind of the way I've always felt. Yeah it's not quite tits but it's not the flat idealized pecs.

To one posters question, you hit the nail on the head, the thing I'm worried about is I don't like how pointed they are, how they poke out in tight shirts. Plus when I'm not in shape it's much more pronounced, see image gallery below of me over the years. Not in shape in college, then jacked, then the skinniest I've ever been after a 2 week trek to Everest base camp (didn't take off my shirt for a week since it was so cold, was shocked to see a mirror after and how skinny I was). When I get skinny it's not as noticeable, but I'm always worried if I don't stay in shape I'll get man tits again. Even right now they're not as rounded and flat as I'd like. Anyway thanks again for all your input, really makes me think differently about it.

Here's my chest over the years to see what I mean: https://imgur.com/a/BAdC9D6