I do not revise scars, reconstruct anything, or work on skin that is
still settling. I work in color, on healed tissue, once your part is
done and the tissue has stopped changing. For most scars that is a year
or more out; for areola restoration it is once reconstruction has fully
healed.
By the time somebody reaches my chair they are usually ready to be done
with the whole chapter. They have been through the appointments, the
waiting, the healing. What is left is the part where their skin looks
like theirs again, and that is the only part I do.
If a patient sends me photos of something that belongs in front of you
rather than in front of me, I tell them to go back to you. That happens,
and I would rather it happen than the alternative.