Avoid boxy pancake boob? (Photo)

Thank you for your pictures and questions. I would encourage you to be cautious about your expectations. A breast reduction is just that, a reduction of the breast to offload weight and tension. It will not likely produce perky and round breasts and it will certainly not produce a snatched waist. What you are speaking about is the squareness of early postop results with an inferior pedicle reduction. With large reductions such as yours, the inferior pedicle is likely going to be the procedure of choice. You should check out some longer term results to better understand the final outcomes.

Best of luck!

Dallas Buchanan, MD
VIVIFY plastic surgery
Tampa, FL

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