It would be best to decide before because the right size implants need to be ordered! I think what he means is do you want natural looking boobs (medium profile probs) or bigger more “fake” look!
I had a size nightmare as i wanted to go really big but left it too late and still got the biggest my PC ordered the day before but because I had gone bigger without discussing it with my surgeon he was a little concerned with a few things.
So I would decide and have a second consul with Amado to see what he thinks.