Regarding Dr Garramone doing surgery on larger guys, if it helps, when I went with my friend when he had surgery with Dr G (he wanted a travel buddy as he had never been out of the UK before, and obviously Ive had some experience, to say the least, in top surgery :p) we stayed at New beginnings retreat and were there for, I cant even remember now, but around 11 days. We saw several people come and go, and a few of them were not your typical skinny/fit guys. Post surgery, most of them were happy/comfortable enough to walk around with open shirts once their drains were taken out, and pretty much everyone had similar results; all had small nipples (they didnt look like they needed trimming), and had the thin incisions and were more straight, then curved, from what I remember.
As for choosing my surgeon, I didnt get a choice, I was just put forward for one in Leicester, UK. But I do hear that alot of guys in the UK do get to state a preference. I dont know why I didnt get the option....but Im not complaining :p