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So as you got ready for your next appointment, you started to daydream about all the things you wanted to do tonight. To which you are brought back to reality when Sarah, your next appointment, knocks on the doorframe and walks in.

"I'm sorry, was lost in space there for a moment, how are you?"

"Good, good. just looking forward to talking to you today" Sarah grins. She was in her late 30s with long red hair. She already had a sizable chest with 36DD but she wanted to get J-cups eventually. She had on a blouse and skirt.

So you go over the basics that she will need to do to get to that size. The surgeries, the recovery and whatnot. It was all standard stuff for your actual job and actually didn't need Eliza's help with this as she wasn't in need of convincing. You made extra sure that Sarah knew what she was getting into and double-checked that she understood everything.

You also gave her a list of exercises to do to get her muscles ready for the extra load she was going to be carrying.

"Let's do a demonstration" You stand up with her and move her to look in a floor-length mirror you have set in your office. Standing behind her you undo her blouse and cup her bra-covered tits. "Now you have a good lift with this bra but in the future they will get much heavier and you will need to spend more on them"

Sarah nods as she appreciates you taking the time to show her and explain.

You undo her bra's front clasp and now have Sarah's bare breasts in your hands. You trace over her nipples and the undersides of her breasts "So around here is where we will need to go in, we will do our best to keep it minimal for scars but there will always be something at this size."

Sarah had to ask "So what will be the recovery time for having sex?"

"Well right after the surgery you shouldn't be having sex for at least a week to make sure you don't pop anything. but I suppose if your partner is caring and gentle you won't have to worry." you let her know as you continue to trace your fingertips over her breasts. Paying close attention to her nipples.

"Well, what would YOU suggest is best?" She purrs "I want an ...expert opinion"

"I would have lots of sex beforehand, get some good pussy pounding orgasms and then take a week off and make your boyfriend or husband or whoever eat you out for a week and then if you are careful you can go back to normal."

"So I should get started... very soon you say?" she says in a low voice. "Like as in today?"

You chuckle at her words and then push her against your desk. "Doctor's orders," you say as you bend her over, pulling her skirt up and pushing her panties down. With quick hands, you line up and penetrated her with very forceful thrusts that make her large tits shake and bounce.

"Oh yes, Doctor... Oh yes... Please... oH god... I need the full amount... don't spare me!" she moans as you thrust hard into her.

The door to your office opens suddenly as Gloria peeks in "Hey boss? .. Oh sorry you are busy with your client still" Gloria watches for a moment as you have your pants around your ankles, furiously hammering your dick into the busty redhead.

"uhh Im going to...need you .. to schedule... in Sarah .. for another appointment... as soon... as you can... fit her in" you grunt out to Gloria.

"Mmm yess Doctor Please!... I need whatever you can give!" Sarah cried out as she pushed back with each thrust of yours.