Why do some boobs go square at the bottom after a reduction and/or lift?

It's based on technique. Many breasts will appear flat at the bottom but gravity wins in time and they generally stretch to a nice rounded curve over several months of healing. As always, please be sure to research who performs your procedure so you can increase the changes of having the best outcome.

Dear macca00987,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Using an inverted T incision increases the risk of the skin envelope having a point of maximal tightness that hits at the midline between the nipple and the inframammary fold. In some women, this can result in a breast that looks flat and square. During the surgery PSs sit patients up to determine if the breasts fall naturally in a round position.

Breast shape after reduction or lift surgery can vary based on several factors, including the specific surgical technique used, individual anatomy, and how the body heals. It's important to discuss your expectations and concerns with your plastic surgeon during the consultation to ensure clear communication about the desired outcome.One possible reason why some breasts might appear squared at the bottom after a reduction or lift is related to the reshaping of breast tissue during the procedure. The surgical techniques used to lift or reduce the breasts involve removing excess skin, repositioning the nipple-areola complex, and reshaping the remaining breast tissue.The squared appearance may occur if the plastic surgeon removes more tissue from the lower part of the breast during the surgery to achieve a lifted or reduced appearance. This can sometimes lead to a flatter or squared-off appearance at the bottom.It's crucial to choose a skilled and experienced plastic surgeon who can assess your individual anatomy, discuss your aesthetic goals, and tailor the surgical plan accordingly. Surgeons often aim to create a natural and proportionate breast shape while addressing the patient's concerns.If you're considering breast reduction or lift surgery, it's recommended to consult with a board-certified plastic surgeon. During the consultation, you can discuss your expectations, review before-and-after photos of the plastic surgeon's previous work, and gain a better understanding of the potential outcomes and any risks associated with the procedure. Additionally, your plastic surgeon can provide guidance based on your unique anatomy and preferences.

Hello and thank you for your question and photo. Just about all reductions/lifts look flat at the lower pole after surgery . The horizontal dissolvable stitches that are there in the fold are what causes the temporary square look. After 3-5 months or so when they dissolve and scar tissue has softened, the breasts will round out at the bottom.