Dr. Eric Emerson in Gastonia:
http://www.transhealthcare.org/eric-emerson/
Keyhole is typically reserved for small chested men. Double incision is likely the best option for you.
http://www.topsurgery.net/procedures/dou...urgery.htm
Feel free to be selective in your choice of surgeons. There are many, and you should not have to feel rushed or unimportant. If you do, look for another surgeon. You are hiring one of these people. For a lot of money! You don't have to be best friends, but you do want to feel comfortable.
$8500 is on the higher side but still within the average.
http://www.topsurgery.net/costs/
Body Sculpting at the same time as Top Surgery is an option. Some surgeons won't do it because of the combined time under anesthesia, but others are doing Top Surgery in less than 2 hours and can also perform some sculpting.
Definitely look at your local options first. You have quality surgeons near home, and there's probably no need to travel out of state. (I found travel after surgery difficult.)
Hope this helps!