I had my pre-op consult for a revision to my Gender Confirmation Surgery (GCS) and breast augmentation (BA) week after next.
On the GCS revision, the plan is to fuse the very top of the labia majora to construct a clitoral hood, produce a pair of folds within the labia majora so as to reconstruct the labia minora, and at the posterior end the fourchette or labial frenulum, a fold of tissue joining the labia, will be lowered to be level with the introitus or vaginal entry. (This will make dilation much easier.)
I'll be off dilation for 3-4 days after surgery, and may have to restart using a narrower dilator at first. Not a big deal.
I will be using that donut pillow again for a while, though.
For the BA, I'll be getting 275-300cc implants. These will be circular smooth-surface lightly cohesive with medium profile. (Other profiles may be flat to extended or conical). With my particular anatomy and pectoral muscle form, I will probably have the most natural appearance and improved aureole placement with an over-muscle implant, with incision in the new breast fold.
I'll be on restricted activity for a month, and won't be able to lift my arms above shoulder height for a while. I'll have to shuffle the kitchen around quite a bit!
Here's what the 'test drive' for this size implant gives me...

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