The short answer is maybe. Aesthetic flat closure can be done by many, but not all, cancer surgeons (general surgeons, breast surgeons & surgical oncologists) without the assistance of a plastic surgeon. Your surgeon's specific training and skill set, their attitude about whether the flat choice is "deserving" of an aesthetic approach, your body, your medical situation, and other factors will affect your aesthetic outcome. That's why it's critical to ask specific questions about HOW they will get an optimal flat contour for YOU - where they'll plan the incisions, how they will mark you up before surgery, etc. If you sense hesitation or pushback, or if they seem unsure about what you're asking for or how they'll do it… ask if they'll consider bringing on a plastic surgeon!