When taking exogenous hormones in low doses for an extended period of time, your body will shut down your natural hormone production through a natural feedback mechanism in your pituitary gland. It's only after someone overrides their own body's natural hormone production that an increased hormone level is seen. This requires ongoing hormonal level testing done by an experienced endocrinologist to get the most out of hormone therapy. I do not recommend abruptly changing any hormone regiment unless done so by someone who is well-versed in the field. I'm not one of them. If you are getting your hormones from a physician, then that is the person to ask. There may well be plastic surgeons who have ample experience with hormone manipulation, but my guess is that it's a question better left to the experts in that field.I hope that helps. Best of luck,Mats Hagstrom, M.D.