[ChuckM]

Well, you are already sporting very large breasts and bigger will definitely give you more of that.  Maybe the top of an hourglass? lol  So, do you find that your wardrobe has changed much as they've gotten bigger?  I'm still wearing breastforms (they are REALLY hard to hide) under my normal clothes and get plenty of looks from people, all to prepare myself for BA. Also, did your surgeon want to emphasize the shape of the implants.  Yours look really full shaped as it is so did they consider HOW you grew them during the consult?

Hi Csquared,

Yes, my wardrobe has changed.  I've added a few more XXLG button shirts, and wear fewer Polos or T-shirts.  I wear suits quite often for work, and have discovered I can't come close to buttoning the jackets any longer, so I'll be ordering some new ones in the not too distant future (probably after the augmentation).  I've got a regular guy I buy suits from and he says there are a couple of styles that will work better with my "increased chest size".  In reality I've almost never noticed anyone looking or apparently noticing my breasts, unless I've specifically dressed so that they're obviously on display.  I think the key is how you dress and present yourself.  

Yes, the surgeon and I discussed the size and look I'm going for.  The two primary variables for the patient are size of the implant, and where it's positioned on the chest.  The positions he offers are high, medium high, medium, and low, and are defined by how much of the breast is above or below the nipple after the implant has fully settled into position after a few months.  If you draw three parallel line across a picture of the breast, one across the top of the breast, one across the nipple, and one across the bottom of the breast, you can then look and see how much of the breast is above or below the nipple line.  If it's roughly 60% above and 40% below, this would be the high position, and conversely 40% above and 60% below would be the low position.  He can go anywhere from a high round fake look to a lower more natural look; I've decided on the medium position for a more natural look.  My trans friend has a very high fake look, which is what she loves, because she like to dress very provocatively, with her large titties on display.

The profile of the implant is determined by it's diameter.  If you have two implants with the same CC volume, the one with the smaller diameter will obviously be higher in profile than the one that's larger in diameter.  Which profile is used is generally not a patient choice, but is determined by the physical size and shape of the patient, and the chest "space" available to inset the implant.

The other decisions I made were to go under the muscle, and go with an inframammary incision.   

I'm very fortunate as a male breast augmentation patient, because over the last few years my breasts have grown a lot, and I have the room to do any size or position I want.  I did discuss, and the doctor was very interested in what I'd done to developed my breasts as large as they are.

Best regards,
ChuckM