3rd time is hopefully a charm!

So I just saw Dr. Saunders this morning for my pre-op appointment and I had ALOT of questions that I wanted answered. 1.) why do I need to stop taking my birth control? Birth control creates a higher risk of blood clots and just for the best healing result it's recommended that you discontinue for 2 weeks before and 2 weeks after surgery according to my PS. 2.) since I need to quit smoking 2 weeks prior to the surgery- can I still use nicotine patches and can I wear a patch the day of surgery? He said YES! Thank goodness bc quitting will be hard enough with the patches. I'm hoping that since I have to quit for at least a month I won't ever smoke again! Keeping my fingers crossed :) 3.) what are you going to do to make my nipples more symmetrical? He said that my right breast is 4cm nipple and the left is 7cm. He says that 4cm is the normal size but I asked him to make them both a little smaller. 4.) a lot of people are recommending vitamins, should I be taking any? He says that there is no evidence that says vitamins help in healing and that he actually asks you to discontinue vitamins bc sometimes they can cause abnormal bleeding. So that's something I'm glad I don't have to worry about.
We talked about size and since my chest is severely asymmetrical we discussed realistic results. Obviously I'm not expecting perfection because the difference is so severe but he says he thinks he will be able to get them almost perfect but they won't be identical "twins", which I wasn't expecting. He said that he is going to put 450ccs in my right size and then use a sizer to determine exactly how many ccs to put in the left so that they are even. He also said that he's going to remove about 100ccs of breast tissue before he puts the implant in. This should bring me to a small D and he said that I should be able to get very close to the pictures that I brought in.
One of my major concerns is the scarring. As you can see from my pic I have a pretty gruese hypertrophic scar on my chest from a cyst removal. Dr. Saunders didn't do the surgery, I had it done by a local surgeon, and it DID NOT heal well. I think that is because I didn't stop smoking or taking medications and my bra rubbed on the incision. Dr. Saunders said that he's going to give me a steroid injection and this should make the scar flatter. But since it scarred so bad he said I have an increased risk of scarring on my breasts which worries me because I'm going to be having quite a few incisions. My right breast will have a lollipop lift with the implant but he said he thinks he will have to do the lollipop on the left and maybe another incision under the breast. I'm worried about the way that they will look because I want them to be as symmetrical and natural looming ad possible which he said he believes is achievable. My mom came with me today to ask questions and get comfortable with the PS since she won't be with me on the day of the surgery. She was concerned about breast feeding and sagging afterwards since I already sag so much now. He said that 90% of women can still breast feed after implants and that I might have sagging sooner than others and have a higher chance of needing a revision sooner than women with small breasts who are just getting implants.
I also got my scripts today and talked to him about the lidocaine lines and he said they will be easy to remove and won't be painful at all. I also ordered a Victoria's Secret VSX sports bra for after surgery, got the crockpot out, and started looking up some good recipes for soup and crockpot to make things easier and as stress free as possible fog my boyfriend and I. All in all I'm happy with the answers that I got today and now I'm just waiting for the time to drag by until its FINALLY surgery day!

So I just some clarification on the implants! Getting Allergen silicone implants under the muscle in style 20/ high profile for the more "natural" look.