Hi!
Over the last few years, I asked myself that same question-- should I bother now, after all these years?? I have decided that yes-- I should bother. I don't care how many years I may or may not have left. I don't care what anyone says or what anyone else wants. I want them gone. I am 48 and I have hated these awful things (size 36 D) since they first sprouted at the age of 10. I have tried to convince myself for YEARS that I was or could be ok with them. I have kept them for partners who said "Oh, they're so lovely please don't!" No more.
I am annoyed that I have to get a letter of permission from someone who doesn't know me when this is what I've wanted my entire adult life. If I wanted implants no one would make me see a therapist. But... that's a rant for a different thread.
I say go for it. I am just starting the process of finding a therapist who will help me out with minimal grief (I am not male identified), but once I have that letter I will schedule a consult and have it done asap. I'll put it on a damn credit card if I have to.