hi kiara
firs of all i must say that u r gorgeous.
about ur question, most surgeons dont ask for RLE in order to perform ffs, but they recomend that u let HRT do its job for atleast a year.
if u r on a budget or can't afford a north american surgeon, i've heard of many girls on the forums who go for their ffs to mexico with dr. cardenas, femilife in peru, or t-change in argentina.