Im having a double DIEP. He also said I didn't have enough tummy fat for two C cups but he will do as big as he can. I was surprised as I have a big roll! I would feel confident in him Heather. Trust him. You probably need skin on your RHS so the implant can go in under. Otherwise you have to have expanders put in and your skin stretched over a few months until it is stretched enough to hold the implant. This way its all donenin the one op.
Have you seen Dr Ps website? He is very good at making boobs look the same and he did tell me he does 'tweaks' free of charge for 3? months after surgery until you are happy. I don't need to see him until two weeks before surgery when I have to have the CT scan so he can see where the arteries are he will use.
Dr P told me the scar will be above the pubic area and as low as possible (below bikini line) but it depends on previous scarring how high it will be. I've had my gall bladder out the old way so have an incision below my belly on the RHS that he has to consider. I think my scar may be higher. Did you have a Caesarian or hysterectomy? I believe they use that scar line if you have one.
As far as scarring on the boobs, he uses the mastectomy scar and then makes a join above that on the top of your boob, but it is below your bra line. That is the tissue and fat from the stomach joined on. He fills in the hollow that is in your shoulder area. I didn't realize Bret tissue went so high until I had a mastectomy and just felt 'scooped out'!
Happy to chat more by PM if you like as I'm keen to stay in touch and see how you go.
Diane