Avoid boxy pancake boob? (Photo)

Hi,
Thank you for the question.
Based on your photos, you appear to be a great candidate for breast reductions surgery. During breast reduction surgery, excess breast tissue is removed, the breast is lifted and nipple/areola is typically made smaller. It is easiest to think of breast reduction as including the breast lift.
There are two main techniques and scar patterns for breast reduction: Inverted-T (Anchor) or Lollipop. The decision to proceed with one technique vs. the other depends on the amount of excess breast tissue present and your surgeon's preference/experience.
I typically use Inverted-T (Anchor) superomedial pedicel technique for my breast reduction patients to create a round and uplifted breast shape, which helps avoid boxy breast appearance.
I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon specializing in Breast Reduction surgeries to further discuss your options, specific techniques, concerns and expectations. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.
I hope this helps.Best regards, Dr. Karanetz
Dr. Irena KaranetzFellowship-TrainedBoard Certified Plastic Surgeon

Hi. Based on your pictures you look like you would be an excellent candidate for breast reduction. In most cases a boxy look can be avoided and the breast can be shaped nicely with a good rounded shape with the appropriate design and techniques. I would recommend consulting with a board certified plastic surgeon with good experience with breast reductions. Be open and frank about your concerns. Also pay good attention to that surgeon's before and after pictures and make sure that they seem to match what you are looking for. I have included some examples in case it is helpful.
Good luck and take care,
Dr. Howell