How soon after having a baby can you have breast reduction surgery done if you have always been top heavy?

As soon as the breasts are stable in size and no longer metabolically active a breast reduction can be done. Six months is probably a reasonable time interval.

Thanks for your question.  I normally recommend patients wait six to twelve months before proceeding with breast reduction surgery.  Its important to allow enough time for your body and your breasts to settle after all the changes from pregnancy and breast feeding.  Its also ideal to be at your normal weight in order to achieve the best aesthetic outcome.