Hi Jen,
You have found your surgeon! Dr. Tom is fantastic and is supported by great staff. I have had 2 BA's and will have my 3rd in November to get me to my goal, Large! I did a search internationally and at the end the choice was a "No Brainer", and now having had to ops with Dr. Tom, there is no way I would look for an alternative. Dr. Tom is an artist with plastic surgery, really it's not rocket science, but the results he achieves are nothing short of amazing. The first Op when the "pockets have to be made to place the implants takes a bit to recover, that involves surgery under the mussel. I would have been tender for about a month. However the 2nd one I had nearly a year ago was a walk in the park! I seriously had to stop myself from over doing it only a week after the op. That recovery was truly fantastic.
I travel from Australia to to go to Dr. Tom, I can only say, this is my surgeon!
As far as you pigeon chest, if anyone can work around this, it is Dr. Pousti.
As a Transgender person all my life, to have had my boob jobs has been the best, for someone with a full and rewarding life, to be completing this personal picture is the very best move I've made for myself.
I wish you the very best, may your outcome be any where as good as mine and you will be overjoyed!
Robin xx