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There is a little extra (cosmetic only) length in the toe of this last, which has a slightly rounded point

The type of sutures used for specific procedures may be determined, in part, by your doctors preference and expertise
Each to his own, though, as you say

For obvious reasons, they are going to add some height to your shape to prevent the added length of the midi dress from shortening you too much

One option to consider

Scar tissue formation slows down around the sixth postoperative month, with most scars improving significantly in the first month