Go for another opinion. An examination is needed to be certain. However, just based on your photos, you appear to have a little excess skin on your larger side which could be removed easily in the office and may make you more symmetrical.
The decision to skip or proceed with a testosterone pellet insertion before surgery should be made in consultation with your healthcare provider, particularly the surgeon who will be performing the procedure. It's crucial to communicate openly with both your hormone therapy provider and your...