There is a lot to this topic. I can offer experience with one of these alternatives. There are pluses and minuses and that is why you should maybe check out some websites about the surgery. I would be active in trying to figure out what is important to you. I had cohesive gel implants also known as gummy bears. My doctor doesn't even do the old silicone types any more. I went under the muscle with 640 cc, medium profile implants. That sounds huge and I was planning for smaller, but on my final fitting I decided to go bigger. They were a better fit to my body. So much is about proportion on your body. It gives me a 38 D or if I wanted to limit my breathing a 36DD. That's a Victoria Secret measurement. Sizing is so stupid. The cup size and the cc sizes are pretty useless in judging what is good for your body. The advantages of gummy bears and under the muscle! Gummy bears at the time I got them reported no cancer risk above anything else. They don't have the danger of leaking like the old ones do. You can cut them in half and they stay intact. I really love the firmness, the feel in my hand. They might be described as perkier. When placed under the muscle, they don't sag. I don't have to worry about a bra if I don't want to. With under the muscle there is less risk of capsular enclosure (contracture ?) I think is the term. This is where the body forms a hard casing around them. They then have to be removed because they hurt. Under the muscle prevents the implant from becoming displaced. Some tear drop implants have been known to travel, spin, move. Not good. The negatives as I see it have to do with a larger ribcage on trans women. Since they don't move and since my ribcage is bigger than a cis woman's, cleavage is really hard to attain. This might be why some docs recommend the over the muscle placement. If cleavage is important to you, ask about this. Another thought is that under the muscle gives less bounce. (I think
@Maybebaby56 , Terri had a different setup if she would care to share.) There is some bounce but not what I expected. Advantage if you are active, disadvantage if you want to flash the grocery clerk when you bend over to write a check! (For those who don't know, an ancient method of paying for stuff.) If anyone is interested and if Allie or staff isn't opposed, I wouldn't mind showing on a zoom if no one objected. It's hard to tell from still pictures. I really don't care. I would highly recommend sizing before you decide. I had a sizing by a trans doctor which consisted of a glance from across the room and her saying "Eh, I'd give you 425 c.c.'s. So I went to someone who does them all the time. You put on a bra and they give you different sizes to try. You look in the mirror and try them out. Invaluable!
Okay, I'm spent for now.
