It's inconvenient to be bigger, but the way Dr. BL explained it to me, she thought it actually came out aesthetically better in the long run, as you're able to do some reductions and sculpting at subsequent stages. So while a guy with RFF may end up smaller than he'd like to be because of donor site limitations, a guy with ALT who is willing to potentially undergo some initial largeness and some additional follow up stages should be able to get exactly what he's looking for in terms of size ultimately.
Just splurge on some supportive underwear 😉