Hi, Otoko,
I might be able to point you in some useful directions.
Contact Dr. Sherman Leis (I'll check that spelling of the name if you can't find him). I understand that this doc came to speak in a meeting of the Metro Area Gender Identity Connection (MAGIC). This is a TS support group in the Washington, DC area to which I once belonged.
I suggest that you find the group in Yahoo and post a question as to what they thought of Dr. Leis.
Alternatively, I suppose that any plastic surgeon in the Philadelphia area who does breast reductions will understand what you need.
Please let me know if I can further assist you.
Hope this helps.
Wing Walker