Is it normal for a lump/hard spot on breast after lift (also galaflex and under muscle implants) to be painful after massage?

The doughnut lift is done with the peri-areolar scar since the areola needs to be moved higher. The lift does involve more than moving the areola higher because the sagging breast tissue is also moved. with Grade 2 ptosis, you might need the vertical lift instead. Your surgeon who has examined...

Let your surgeon do the scar revision to get the scars more narrow, then continue once the tapes or sutures are removed with scar products. Avoid all tanning for 6 months or your scars will darken.

Yes, you have symmastia or tenting because the implants chosen are too large for your tissue and frame. You need to go down in size and a smaller width.