Cathy...If you are in grad. school, I presume that you are fairly young. I would suggest that if this bothers you this much, you owe it to yourself to explore it some more. Don't pass up an opportunity to do it now and regret it later. Later, you might have other responsibilities, such as children, or an aging parent, that will prevent your being able to get this surgery. Go to a counselor for several sessions, see an appropriate surgeon and see what would be involved and what the chances are for significant improvement, and then, if you think you will feel better and function better, GO FOR IT. I, too, have a decision to make about further surgery, and I, too, am a public person..presenter/teacher/singer. The big difference is that, at age 63, I have a different set of considerations.
Make no apologies for wanting to explore this. My policy is to Live Strong, as Lance Armstrong's program says....Do not let this monstrous disease take more from you than necessary. And if it is taking your confidence, and you can do something reasonable about it, then you deserve to make that choice. Keep us posted. Good luck with your decision.