I've thought about this subject a great deal. I ache and hunger to make the fantasies I do have a reality. Although I don't have highly specific scenarios I would want to play out... More like I want to capture a women, torture her for hours / days (though holding someone captive for days on end is infinitely harder than one would think and I'd be too paranoid), and eventually ripping and tearing shreds from her fat tits through my own teeth then using a blade to cut chunks of flesh from them. It would be overwhelmingly incredible.

The reality of this is either you do or you don't. The middle way is by attempting to live out fantasies through RP or roleplaying with a partner in person (though you would need to build a strong level of trust with them, first since consent is important when it comes to that shit). I've had the fortune of having partners that understood what I enjoy though we've never actually done anything disfiguring.