Is There Any Way to Avoid a Squarish Looking Breast Shape when Having a Breast Lift?

I've been looking at before and after photos of breast lifts and I have noticed that quite a few of them have a boxy shape on the underside of the breast as opposed to a more round look. Would breast implants help round out the boxiness?

Doctor Answers 4

Boxy Shape After Breast Lift

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Obviously the skill of the surgeon and the pre-existing breast shape will influence the appearance of the breast after a breast lift but the technique that is used will also be very important.  I agree with other comments that an inverted-T technique is more prone to creating this shape as there is often more skin removal in a vertical dimension and less in a horizontal dimension.  Breast implants may help somewhat but are not a substitute for good surgical technique and aesthetic judgement.

Saint Louis Plastic Surgeon
5.0 out of 5 stars 81 reviews

The boxy breast lift

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We have not come across the term 'boxy' in quite some time, you might be a professional. The boxy breast was used to refer to the result, often early, of a WISE or "T" pattern breast reduction. The breast appeared flattened across the bottom with a relative shortened distance nipple to fold, kind of squared off at the bottom. This too can happen after a "T" pattern breast lift. We seldom need a full T for lift as the verticle pattern is a nice option and leaves the lower fullness or rounder look.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 44 reviews

Breast shape depends on your pre-existing breasts and your surgeon's skill

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I am not sure what before and after pictures you have looked at, but the end result of a breast lift is determined by your pre-existing breast shape and what your surgeon does when he performs the lift.

We perform what is known as a vertical sling breast lift which completely reshapes the breast and gives you a nice and perky shape.  That tends to also create a nice round bottom.

Ultimately, if you do not like a surgeon's before and after, don't go there.  It's like when you are looking for an artist and you don't like his previous work, don't commission him/her to create a painting for you if you are asking for something other than what he/she normally does.


Martin Jugenburg, MD, FRCSC
Toronto Cosmetic Surgery Institute

Martin Jugenburg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 518 reviews

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Boxiness or round breasts

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I think this is an individualized situation. Boxier breasts may occur with heavier patients that have a lot of fatty tissue lateral to the breast. It can also happen with tight skin envelopes with reduction, to name a few causes.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

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