My goal was also aesthetic flat surgery. My warning for you is find a surgeon who will PROVE to you he/she/they have performed this surgery successfully. Make sure you SEE photos. I saw 10 plastic surgeons before my mastectomy. I chose a surgeon who assured me he could do it. But he couldn’t understand why I would not want to try a skin sparing mastectomy and let him use rhe skin to create an “A “ cup. It would be like a lat flap surgery but easier because the skin was already on my chest. He talked me into it. I am so so sorry I didn’t see photos of his successful surgeries. I showed him pictures of what I wanted and what I absolutely did not want. I told him I wanted one and done. No fat grafting or future surgeries. He said he could do it the surgery went fine. Recovery was fine. But when he unwrapped the bandages to show me the results, I collapsed on the floor in horror. Now I can’t find any plastic surgeon who can fix the mess he made. It’s been a year. I am trying not to look at myself.