Revisions after Chest Reconstruction Top Surgery Medically reviewed by Dr. Alex Facque on October 10, 2025. As a part of your gender-affirming chest-reconstruction top surgery, you can choose from various options to modify your nipples and areolas. Patients can have their nipples removed altogether, patients can choose to have their nipples and areolas preserved as they are, and patients can undergo nipple grafting to modify the size, dimensions and position of the nipple-areola complex on their chest. Not to mention, nerve innervation can allow for nipples to maintain heightened sensitivity after surgery. There are a variety of reasons as to why a patient may want to undergo a revision to …