I know you are looking for a permanent solution but do not overlook those make-shift method like silicon inserts and cute padded bras.
Everyone reacts differently to surgery and for some women, the breast will become rock-hard. I do not know if you intend to indulge in bodily pleasure with the opposite sex but it can be a huge turn off for guys. Inserts and paddings are great in that it allows you to size it according to your mood and fashion. Not all clothes look good resting on huge boobies. According to what fashion dictates, you can use a smaller or larger size paddings. The silicon inserts are quite lovely in that it provides a very natural jiggly motion and nobody will know you are wearing one.
Whatever you decide, please take time to consider all options

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