Is there any way to avoid square boobs after a lift? What makes you more or less likely to have this effect?

I recommend a new technique called The Horndeski
Method™.The breast tissue is reshaped
creating upper pole fullness, elevated higher on the chest wall and more medial
to increase your cleavage.This
technique avoids the ugly vertical scars associated with the traditional
technique, maintains nipple sensation and the ability to breast feed.Best Wishes,Gary Horndeski, M.D.

Not everybody ends up with square breasts after breast lift/reduction. It has lot to do with a surgeon performing surgery and a particular technique used. Goal of breast lift surgery is exactly what you want; natural, round and perky breast. However, despite all expertise that your surgeon might have, very soft, saggy breast may end shapeless. Addition of breast implant can in some patients help breast projection and shape.You should have consultation with a board certified plastic surgeon for detailed evaluation and to discus your options. Good luck. 

Start by scheduling a consultation with a board certified plastic surgeon in your area (link below) whose breast lift photos suit your aesthetic. Excellent results are going to depend on the skill and expertise of your surgeon. Best, Dr. Nazarian

There are several techniques for doing breast lift surgery depending on how saggy your breasts are.  Most of these do not result in "square boobs."  I think this would be a bigger risk with the traditional anchor-type breast lift procedure if the skin under the breast isn't tightened enough.  I really haven't had a problem with "square boobs" in my practice.  I would suggest that you schedule an appointment with a board-certified plastic surgeon who can examine you in person in order to determine the best type of breast lift procedure for you. 

Thank you for your question.  Depending on the technique of breast lifting employed, certain surgical steps must be taken in order to yield the best, most natural results.  This will be determined based on the severity of sagging that a patient displays, their skin quality, and the possible placement of implants at the time of surgery.  In order to best communicate your desired results, reach out to ASPS board certified surgeons in your area for an in-person evaluation and discussion.  

Some surgeons will tout one technique (the one they use) over another as getting the better shape.  I have revised breast lifts from surgeons all over the country and elsewhere.  I have found no one technique superior to another long term.  The result is more dependent on the individual surgeon.  Look at examples of the surgeon's results.  Determine if the result is similar to what you want.   Keep in mind that breast surgery results are not permanent.  As time progresses the breast will change shape with loss of skin elasticity, weight gain and loss, and after having children.

There is no reason to expect square breasts after a lift. Use an experienced surgeon who performs the vertical (lollipop) lift and you should have perky and well projecting breasts when all is said and done. Best of luck! 

One of the criticisms of a Wise pattern mastopexy (anchor scar lift, inverted T scar lift) is that patients can be left with a boxy shape.  Other techniques exist to prevent this square shape.  Many surgeons now favor a vertical mastopexy to achieve a better breast shape with a shorter scar.  Postop care has very little to do with the eventual shape.  So the answer is find a surgeon with experience using a vertical mastopexy technique.  That should not be hard to find in Birmingham.  Good luck!

Thanks for your question.The outcome of breast lift depends on your current breast shape as well as your surgeon's technique.Please review before and after photos.  Share your "wish" photos with your plastic surgeon and see that can be achieved. Best regards.

Sometimes, my patients get "Spongebob Squareboobs" at about 4-5 weeks after surgery when they've had an "anchor" lift.  That's because the vertical scar gets a little tight before it relaxes and the breast rounds out again.  If it's designed well, the breast will not be square in the end.  Go interview a few surgeons who are ASAPS members and look at their photos.  Good luck!