It's all about how good a girl feels about herself, and I think it's how she carries it ( them ) off ! So inserts or hormone-grown, either way a girl will feel good. Sure, scar-tissue does detract from a visual turn-on, but skillful surgery and / or cosmetic cover can improve a girl's image, and consequently how she feels about herself. Bottom line is - does she feel more feminine and sexy as a result ?
One thing that has caught my attention during my browsing on this forum, and that is the importance of nipple size to complete the effect. Just how do some of these TransLadies achieve such large Areolae ? Mine ( home-grown ) seem positively puny by comparison !
With a wiggle and a smile . . .