Patients with overly large breasts are also unhappy with the shape of their breasts. When the volume and weight of the breasts are excessive, there is an increased tendency for the breasts to start sagging, even if the patient is very young. The ligaments that hold the breasts in an elevated position are overstretched and relax due to the pressure, hence the breasts become droopy and hanging low on the chest wall. This is the reason why the breasts lose their beautiful shape and look like bags. This is an unsightly appearance that women want to get rid of. A common question we hear from women wanting to undergo breast reduction surgery is related to the shape of the breasts after the procedure. Most of them already have a shape in mind, such as a round shape with lots of upper pole volume, as this is often missing for women with overly large breasts. It is important to know that the volume of the breasts can easily be reduced when undergoing plastic surgery. However, correcting the shape of the breasts or achieving a specific shape can be more complicated. The shape of the breasts after breast reduction surgery is dependent on the initial shape of the breasts and the condition of the tissues. The plastic surgeon will re-center the mammary gland tissue when breast reduction surgery is performed, but it can be very difficult to correct the shape of the breasts and give them upper pole volume when this is not the natural condition of the breasts. This is the reason why many patients choose to undergo breast reduction surgery with breast implants. At first glance, it might look counterproductive or contra-intuitive to reduce the size of the breasts and at the same time add implants. However, it is important to understand that with the help of implants, we can better control and correct the shape of the breasts. That roundness and upper pole fullness that is so appealing for most women can often be achieved only with the help of a special type of implants positioned in a certain placement. When breast implants are used, the plastic surgeon will excise a larger quantity of the mammary tissue to make room for the implants and still have breasts that are proportionate to the patient’s anatomy. In other words, the results achieved after breast reduction surgery with implants are breasts that are smaller than they were but also have the shape that the patient desires. When implants are not used, the shape of the breasts after breast reduction surgery is often tear-shaped, which is a natural shape that many women like and are comfortable with. To achieve good results with a shape and size of breasts that you like, make sure to select a board-certified plastic surgeon for your procedure.