Hi! Sorry to disappear, I wasn't sure anyone was actually paying attention.
YES, it does fit! And it seems just as comfortable as stock. I actually think the US Seat Cover brand GX foam could be more comfortable than stock, but I don't really know. The Texan Seat Cover brand leather cover is definitely better than stock, I wish they made 4Runner covers as well. I ended up replacing the rest with a cheap chinese set, but that lower seat cover is premium.
Both seat pads are very similar, and the GX foam and cover fit the 4runner frame just right, even down to the area with the controls. I didn't fully install the T4R cover, but I confirmed that the stock T4R cover will probably work just fine with the Lexus foam, except the center seam is too far off, preventing any attachment in the middle. So, you could probably use the original T4R cover with the GX foam using only the side attachments along the bolster seams.
When I compare both seat cushions side by side, the GX foam MIGHT have a tiny bit less foam under the knees. Then again, my 20 year old T4R foam is very abused, so it's hard to tell. Either way, I'm happy with the results.
I'll post some pics sometime soon. I ended up needing to completely remove my 4runner's entire interior to clean and disinfect everything, so it's become an upgrade project where I even designed a vented seat system.
I bought the truck in Sacramento (a very dry and hot place) from an outdoorsman who spent a decade offroad, sweating and hunting in it. In that arid climate, the 4Runner smelled just a bit like an old car. After two months in my humid area, it smelled so much like a monkey's jock strap I could barely sit in the car. At first, I thought it must just be the seats, which took actually soaking the foam in bleach/detergent solution to get right. However, once I started pulling interior parts, I found layers of dust covering almost every square inch, and after baking in the Sacramento sun for years, that dust had formed into a sort of mud that retained the nastiest smells of b.o., dog, and dead elk. Even surfaces that looked clean had to be disinfected several times to get the smell out of the plastics and paint. It was so pervasive I even replaced the headliner fabric with vinyl so it will never stink like this again.
So, lemons into lemonade, I'm upgrading everything, since I had to even remove the dash. Carpeting was exchanged for vinyl, and every single piece of jute padding has been replaced with closed cell foam that won't absorb smells. Around the end of the month, I'll hopefully post the progress and show off the seat upgrades. I'm pretty proud of the ventilation system I came up with, it's better than most factory versions.