Boxy shaped breast after breast reduction surgery, which procedure would help? (Photos)

If you’re dealing with a boxy shape after your reduction, a revision surgery might be necessary. In general, the wise pattern (inverted T, anchor incision) is more likely to cause this. Sometimes the breast can be reshaped while other times it is more challenging. Seeing a plastic surgeon to evaluate and discuss your options and timing may be helpful. If your original surgery was many years ago, there are more options available for revision surgery.

You may want to consider a revision to your breast reduction and include autoaugmentation. This is an approach that uses your own tissue to give upper pole fullness to the breasts. This is different than fat grafting. I've included a video that I hope you find helpful.

Thank you for your question and photos. Based on these photos, I assume you had a breast reduction covered by your insurance. The insurance company does not pay the surgeon to address the large lateral chest wall fat rolls, thus, he did what your insurance covered: give you smaller breasts. What procedure would help to give more aesthetic breasts? You do have asymmetrical breasts with large fat rolls on the lateral chest wall, and you will need additional reduction to make them symmetrical and liposuction to contour the lateral breasts and chest wall. This is not considered a "touch up", it is a new operation to correct your results. This is not considered a good result nowadays. See a board certified plastic surgeon experienced in all aspects of breast surgery for an in person consultation/evaluation. Good luck.