5'3, 115lbs, 30DDD, does avoiding boxy breasts depend on size?

Question

I am finally looking to get a breast reduction! It's been so long and every day is uncomfortable. I am a 30DDD (I think) and was curious why some women get a more boxy shape after their reduction. If it depends on your current size (I'm 5'3 & 115 lbs), surgeons technique, etc. Or post-surgery does wearing a good bra help for shape? I would appreciate any information or advice regarding getting the best results!! Thank you :D

Elizabeth Kiwanuka, MD, PhD · Answer

Boxy breast deformity is, unfortunately, a common aesthetic problem following breast reduction and breast lift surgery. Boxy breast deformity has been attributed to either excessive glandular tissue on the side of the breast or excess skin in the horizontal direction. 
To avoid boxy breast deformity, it is important to clearly understand breast aesthetics, especially those of the lower part of the breast. Your surgeon should take the size and shape of your breast into cosnideration when planning for your procedure.

Finny George, MD · Answer

Hi, thank you for sharing your question. There are a number of factors that determine the postop shape. The design of the surgical incisions and breast pedicle can impact the result but also how the breast heals. I would discuss this with your plastic surgeon.

Marguerite E. Aitken, MD, FACS · Answer

You can look at my breast reduction photos, but I mostly use the vertical technique to achieve a full and natural appearance.

Christopher Pannucci, MD, MS · Answer

Hi cheeetah,
Surgeons choose the correct breast reduction technique for you based on your own characteristics, including your long-term goals but also your initial size, shape, and measurements. Importantly, the technique chosen can impact your long-term shape and its stability.
An inferior pedicle technique, which keeps the nipple alive based on the blood supply below the breast, is commonly referred to as producing a longer term more boxy shape. Other techniques, including one called a superior medial technique, generally produce a less boxy shape but may not be possible in patients with very large breasts to start with.
I think that this is an excellent question to discuss with your surgeon in advance, in real time during the exam. It is not enough to have a conversation that you want a breast reduction, but you would like to know the specific technique that they would envision using, and how this would impact your long-term shape and results.
Hope this helps.
Best,Christopher Pannucci MDBoard Certified Plastic SurgeonPlastic Surgery NorthwestSpokane, Washington

Albert Ko, MD · Answer

Thank you for your question! Breast reduction results are based on surgeon technique. A good compression bra after surgery will help with swelling and post operative discomfort. I recommend that you visit a board certified plastic surgeon and discuss these concerns and look at his/her before and after photos to see if you are happy with his/her work! Best of luck!

Zoran Potparic, MD · Answer

Final shape of the breasts will depend, between few other things, of how much tissue is removed; reduction to a C cup size is very likely to create better and more durable result, while reductions where too much tissue is left, will result in square, boxy breasts. It also depends of the technique used and, most of all, your surgeon. Good luck.

Derek Fletcher, MD · Answer

Breast shape after breast reduction depends on your starting shape, skin quality, breast tissue type, goal size, and surgical technique. Boxy breast shape more common for certain types of breast reduction (Wise pattern, inferior pedicle for example). Look for a surgeon in your area with results that you find aesthetically pleasing who has a good reputation and is also Board Certified by the American Board of Plastic Surgery.

Miguel Mota, MD · Answer

Hi! Not sure what you mean by boxy breasts. If mean breasts that are a bit two wide and boxy this has probably more to do with swelling then anything else. Sometimes when the reduction is not aggressive enough you might get breasts that are a bit too wide as well. But is will definitely be easier to answer your question about your probable results if you post a follow up question with photos.

Best of luck,
Dr. Miguel Mota

Best of luck,
Dr. Miguel Mota

Jeffrey Lisiecki, MD · Answer

Boxiness after a breast reduction is mostly dependent on technique, and a little on the patient's tissues, though all breast reductions will relax a bit with time. Find a surgeon with results you like and see them for a consultation to discuss!

Ronald J. Edelson, MD · Answer

Boxy breasts are more common in those with a wide chest and heavier individuals. And a lot has to do with the surgeon’s skill .

5'3, 115lbs, 30DDD, does avoiding boxy breasts depend on size?

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