I'm 5 months post-op for a breast augmentation with Dr. Edelstein.
I came here because I read that he had experience working with transgender women - who tend to have wider chests - and wanted to make sure that would be taken into consideration.
I wanted fairly natural looking breasts, but considerably larger than what I was starting with.
He took my concerns seriously, and we decided on Allergan Natrelle cohesive silicone 485cc implants, under the muscle, with breast fold incisions.
I went from about a 34A to 34DD, and after settling, they do look pretty natural! My only real issue is, I think because I chose to go under the muscle for a more natural look, that even with a pushup bra, my breasts are so wide-set that I can't really get cleavage unless I push my breasts together moderately hard with my arms or hands. I did honestly think I could get cleavage by just wearing a push-up bra, but that is decidedly not in the cards for me.
Still, I'm glad I chose Edelstein to do my surgery. He and his staff are all super friendly, the surgery went so smoothly, and my incisions are healing quite nicely (With the use of 2x daily silicone scar gel)!
I don't honestly know how much of a difference it would make if I'd gone over the muscle, but I think if I had a time machine, I'd have done everything the same except for going over the muscle instead. But that's on me.