Looking for a More Natural Look. Couldnt Go Under the Muscle

I had my second surgery done to replace old saline...

I had my second surgery done to replace old saline implants. Asked the doctor to go under from over and was unable because of the muscle thinning and laying in the grooves of my ribs. He put in 400 mod silicone which looks ok but im really thin up top and cant stand the round look up above and want the smoother transition.

The revision surgery was really easy with no real pain afterwards. It would have been more painful if he could have gone under the muscle. Id like to just get a more natural slope on the upper pole and go larger next time.

What are my options to get a more natural look? Is there a way to build up the muscle ro go under again? is there something that can be put in the pocket to create a more natural effect, built it up with fat? Why dont they make implant with a more natural shape than just round? thank you

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