Patients who previously used a chest binder and/or have had nipple piercings are still eligible for top surgery. The effects of chest binding on top surgery results are minimal at best. Still, long-term binding may affect skin elasticity. Please inform your surgeon if you had nipple piercings in the past. Any chest piercings will need to be removed prior to the operation. You can find more information on chest binding here, and our guidelines around nipple piercings here.