I had the cohesive gel implants last July. Went from 38A to a 36DD or more comfortably a 38D. Mine were 640cc. My surgeon only uses the gummie bears. I don't know if that will become the new standard.I did under the muscle. I have found positives and negatives with the gel type and the under the muscle placement. Positives include less risk of capsular contracture with under the muscle. Negative is that on trans women, the boobs tend to be spaced farther apart. When you have the implant under the muscle, they don't move as well. Getting cleavage is hard because they tend to be more stationary. Under the muscle has less chance of showing any rippling. A negative is that when your muscles flex the boobs move. Positive for cohesive gel is that I don't have to wear a bra if I don't want. Negative is you don't get the feeling of movement much when you walk. Laying down, I think they look fine. I wondered if I had gone bigger, where the growth would show up, maybe too much on the side. I think there is a good chance that the side boobage would have increased. One of the reasons I went bigger to start with was to get some side boobage to give a curvier shape. I am pretty happy I did. Overall, I like my boobs. They are firmer than other women my age. They are by no means rock hard, just nice and firm. They are pleasantly firm. I do wish they were closer together and I do miss the feeling of motion that over the muscle might have given me. But I do like not wearing a bra. It is weird but my boobs don't look too big until my top is off. Then they look pretty big. Bottom line is that there is no perfect thing that covers all the bases. You kind of have to decide what is important to you. Oh, I am having laser on the scars and that has really helped them fade. Another thing is I'm still waiting for feeling to return in much of boobs below the nipples. Getting there. Oh yeah, it took me over six months for them to drop. They had me nervous at first because they were so high. Can't think of anything else. First real bathing suit season this year, can't wait.