Having Chest Reconstruction Top Surgery After a Breast Reduction Often, patients ask us about the interaction between a traditional breast reduction and a gender-affirming chest reconstruction top surgery. Specifically, patients ask if having a breast reduction will affect a subsequent top surgery procedure to further flatten the chest, and if having the breast reduction will limit the options available to them if they decide to have top surgery. Here we will describe factors you may take into consideration such as the availability of minimal incision techniques like periareolar or keyhole top surgery, the potential joining of the incisions on the chest, and the incision location options. If you have undergone …