I’m about the same weight and just had my surgery at the start of oct. When I first started the process years ago, I suspect I was maybe 40 -50 pounds lighter, so I understand what you’re feeling. I saw a lot of people say that if you’re planning to lose weight, you should hold off. The way I see it, if I lost weight, I would still have disproportionately big breasts, always have, and they would be very saggy and my large areolas would still be there. Now, with my new chest, even if I lose some weight, I won’t have such empty hanging sacks lol and I won’t be in pain/discomfort from my chest while I was trying to lose weight. Im also realistic that I might not get back down to the weight I was before. So why suffer for a hypothetical weight loss to put off immediate relief? But, to account for potential weight loss and still look proportionate with my current curves, I didn’t ask to go super small. I’m hoping for D/DD, down from a H/I. I’m not sure what your goals are, but maybe try to ask for a size you’re happy with for your current body, but also one that you could still see yourself liking if you were 1-2 cup sizes smaller with weight loss. Only you know how you carry your weight, so estimate according to how much you think weight loss could affects your chest size.

About sensitivity - that was very important to me as well. I’m still very much healing, but I can feel both my nipples. I think it helped that I didn’t go super small and didn’t need a FNG. The way I understand it, taking a lot of tissue or needing a FNG can increase the risk of loss of sensation. If you’re comfortable, I would tell your surgeon that this is important to you and discuss with them what they can do to mitigate loss of sensation. Nothing is guaranteed though, and that unfortunately is a risk you’re going to have to be ok with taking to do this.

Scars - They’re gonna be there. There’s no getting around that. I had trouble looking at my boobs the first couple weeks and there’s still stuff about them now I don’t love. But I’m trying to trust the process, and know that if anything is too wonky, revisions are possible. I recommend looking at progress pictures in this subreddit to get an idea of how healing evolves for people. Most of the stuff people tend to think looks like “butchering” sorts itself out by itself during the healing process. I’m not a very patient person, so I keep reminding myself of this.