For myself I feel it should be a package deal, being not just the size involved, because after the size is adjusted the radical scaring is there forever. To me this is my only option even if I must wait 6 mos. Perhaps someday more doctors will be interested in developing a process for less traumatic scar. This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.
Most good doctors ARE concerned about the best scar.
We have been working on shorter breast reduction scars for years. As my last E-mail stated, we do have short scar methods but the problem is sometimes the breast. The breast reduction is a 3 dimensional problem and shorter incisions do not always give the latitude to build a reasonably looking breast. It depends on the individual breast. From your description there may be several short scar options.