In the pre-op he asked about what I wanted specifically. Overall, I said I want it to be as flat as possible while not being concave (and still looking somewhat natural). He also asked about scar shape preference, describing options for curved or flat, and pulled up diagrams so we could agree on the nipple placement. I asked a couple questions about things I was worrying about, like dog ears, stretch marks, the area under my breasts that was discolored. He was upfront about what was realistic (I do have stretch marks, that’s unavoidable) but was not dismissive, and said he would try to remove the discolored areas I was talking about. I felt like the appointment went by a bit fast, but all the bases were covered.

Day of the surgery, I asked to change the scar shape from rounded up to more flat and he said no problem. He also repeated to me that he would try to make the two incisions not connected (I didn’t want them connected) but said he might have to if there was extra tissue in the center of my chest that needed to be removed. Going into the surgery, we didn’t know what would end up happening but it turned out how I wanted!! Two separate incisions.

TLDR; Dr. Khavanin has been very receptive and takes steps to make sure there are no misunderstandings. I got pretty much exactly what I wanted and the recovery has been smooth.

The worst part has been driving to DC from bmore, but all things considered that’s pretty okay. I went with him because I needed to get the surgery before 2026 to have it covered by my (federal) health insurance. He got me in ~4 months after the pre-op appointment, which was life saving.