So I was all set to have my C cup with 470 cc implants that would, in my head, be practical to living actively and not change up my wardrobe too much. The surgeon has done some trans patients before but mostly has a cis gender clientele. Dr. Basner was highly recommended by two cis friends of a friend and one trans woman from Susan's (Thank you, Dani.) The thought was in my head that maybe when opening up the pocket for the under the muscle implant, that there might be some discretion in where to place the implant. Then I figured, well if the implant is placed off center of the nipple, things would look odd. All the time I was thinking about my larger chest cavity and the tendency of trans woman's boobs to appear pointing outward. I wear a 38 band with an A cup from HRT. I figured what do I have to lose, I'll mention this to the doctor. His response verified the need to center the implant on the nipple. He then described the look that he tried to attain when doing implants and that was to have a bit of a curvy appearance both on the inside and outside of the breast. He never pushed me into any specific size but did say he thought a bigger implant would do that for me. He said we have one chance to get this right, so if you want, we can do a resizing with a few larger implants so you can see the curviness that a larger implant would bring. I said great. So an assistant, Colleen, came in and she gave me a few different bigger sizes to look at. She said, "I don't want to let a number in your head decide what is right, so I won't tell you the implant size until you pick what looks best." She was dead right as that would have been in my head. The doctor also made a point of showing me that the projection outward between the bigger and the smaller implants was very close to the same. In other words, bigger implant did not mean having bullet boobs like Madonna. Also, he did give an upper limit as to when he thought I might be going too big for me. All this was gentle guidance, not pushing for any certain size. He does it all the time, knows the best looks from experience, and has no financial benefit to me picking one size over another, so I thought it wise to listen to his experience. The first size was not a huge difference from what I had picked before, but the size up from that started to show the curve more. That curve on the inside directly related to being able to see and have some cleavage. I finally reached my upper limit where it just felt too big. Of the two I had in the bra at the end, I was thinking about the bigger size and kind of expressed that and then Collen expressed her opinion that she thought that was the look she would pick for me. She then told me that the size I picked was 640 cc. Now if I had known the number, I would have been guided by that number instead of the look. As she was leaving, I asked what cup size this would be. She said Double D. I was like, "Are you serious?" I never imagined going that large. It wasn't til she left that I wondered what that would do to my clothing selection. The next person I saw, I asked about this who stated that she thought it would not change that much. Sizing of beasts for clothes is such an inexact science, no guessing game. So that will be left to be determined.
I also asked how hard it would be for a lay person to remove stitches. My partner was going to do it rather than go back to North Carolina to see Dr. Cooley. I have about 80 stitches in my head from my hair transplant. He looked at them and said we can do it on your follow up. I said great, how much? "Oh, no charge, Collen can do it." Wow, that really impressed me.
So, I will have a double D cup. I don't think it will make me look top heavy as they will not stick out further. The change in look should be more in the front view than the side. This is something I wanted, not to look top heavy. It seems proportional to my body in theory and with the try on. This experience made me realize that the size of the implant is unimportant. It is the proportion of the implant to the size of the body that counts. Plus, I will have cleavage now! (I am 5'7 1/2'" and 166 pounds plus the three they added yesterday lol.)
My report on my progress past my insomnia last night is good. The boobs are high on my chest as they are supposed to be at this time. I had no nausea and not much pain. I am off my pain pills now. May take some Tylenol later! I look down and see swelling and
cleavage, wow! We went out to eat and did some shopping today. Then a 2 hour nap!

Mentally, I have a real sense of calmness. I was proud to be out in public even if the boobs haven't settled. I haven't seen my body yet, but being trans means being patient (or impatient training to be patient more likely.) I think this is going to have a big impact on my self image, my confidence. I shower tomorrow so it will be interesting to see my new babies.
Since Kendra is one day ahead of me I would like to hear her perspective if she is willing. And anyone else.

Moni
1 Day post-op.