Update:
Things are starting to move forward. I am in the queue and it a bit more than six months I will go under the knife. Right now I'll will undergo preliminary testing during the next two weeks (anesthesics, Rx, Blood tests, heard condition), and by october it will be the next appointment to decide on the details.
The proposal was like this: At nearly 24 months, anatomic teardrop implants under muscle with breast fold incission. Size I can request: "Bigger while in anatomically correct terms and that allows for cleavage". Apparently my areolas aren't big enough to use them as an entry point, and the armpit incission would not allow to position those implants that requiere accurate placement and adjust.
So, Am I happy with this? Not really. I've talked with other trans women, and even cis, and I haven't found a single one that likes teardrop implants. I prefer round implants, which done under the muscle and choosing the right size, they will look ok and natural too. When I told the surgeon "Can't we use rounds instead" he was like "but it won't look natural". I don't like the natural look, and I want that upper pole fullness. It's more of an aesthetic choice, but I should have the final decission. Also, rounds will give me the most invisible possible scar, which will look far more natural than an under breast cut.
I'm aiming for moderate or moderate plus round implants. My natural breast have kept growing and I am very close to reaching a B. The form is very good, with a natural slope and a well shaped lower pole. Only the breast fold needs a bit more time to happen. That form, combined with under muscle should give good aesthetic results.
