. .some people have circle scars around the areola ,,some have gigantic football looking grafts..some just look like they have had a reduction with one vertical scar.. does it depend on the kind of mastectomy scar from the previous surgeon or is it size dependent? If a woman has already undergone tissue expansion can a tissue flap be placed underneath to avoid the horrid football look and reduce the size of implant required for fullness? how is this attached for blood supply?