Why Do the Majority of Breast Reductions/lifts Look Unnatural?

                 If you have some superior pole fullness before the breast reduction, the breasts will have more superior pole fullness.   The skin envelope can be tightened by the right surgeon to give the roundest look possible for that set of breasts.  Find a plastic surgeon with ELITE credentials who performs hundreds of breast lifts and breast reductions each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

Younger patients with good connective tissue generally get very youthful looking breasts.. In older patients when the connective tissue is compromised the results will not look youthful. It is also dependent upon the technique chosen.

What you have observed is how most braest reductions and many non-implanted breast lifts look early in the healing process. As the breast settles the bottom usually rounds out and the squareness effect goes away. A breast lift without an implant in most cases will not end up with a full upper pole, that is why some lifts also have an implant placed so the upper pole maintains fullness long-term.

Perhaps you have not looked hard enough at photos and sites. The breasts can look natural it really depends upon what you think natural looks. If you want a round appearance and a lot of superior fullness then you will need an implant.

The problem with the standard breast reduction or breast lift is that they rely on the skin to hold up the result. This can lead to long term bottoming out and possibly the appearance you are trying to avoid.  There are other methods available that use your own tissue to rebuild the breast giving lower pole support and upper pole fullness.  This is termed an mastopexy with a dermal pedicle autoaugmentation.  Some refer to this as an internal bra.  The basic concept is to use the breast tissue to support the result and not the skin.