Will a breast reduction ruin my tattoo? (Photo)

Assuming the tattoo is below your breast's inframammay fold, it is unlikely that breast reduction surgery will change the tattoo.  Of course, your selected plastic surgeon will be able to provide you with more specific thoughts. Best wishes.

Scars after a breast reduction go around the areola, down from the areaola to the inframammary fold, and often horizontally in the fold.  Depending on the size, shape, and exact location and extent of your tattoo, distortion is possible postoperatively.  It is best to discuss the scar placement and tattoo proximity with your surgeon so you know what to anticipate after surgery.