Revision solution - what would be the best way to fix this? (Photo0

You have bottomed out from the weight of your implants. I suggest going somewhat smaller and using mesh for an internal bra to give you more support as the inferior pocket is tightened. Please discuss this with your surgeon.

You needed the lift, that's why the surgeon placed the implants so low, in a vain attempt to lower your native inframammary fold. Surgeons that make that error are either incompetent or simply were not trained to perform breast lifts, ergo not a board certified plastic surgeon. Regardless, you need a new surgeon. You have all of the what you mentioned: bottoming out, double bubble, and severe animation deformity. The fix is this: Pocket re-sizing via capsular tightening and reinforcement with resorbable mesh ('internal bra'), followed immediately by a breast lift. You'll have beautiful breasts.

Thank you for your question. I have been in practice over 28 years with an emphasis on revision breast surgery. Your surgeon placed implants to low and underneath the normal breast ligament in an attempt to avoid performing a breast lift. It is clear by your anatomy that you needed a breast lift from the very beginning. You would need to perform an internal bra procedure-capsulorrhaphy as well as a breast lift. I wrote the very first paper on capsulorrhaphy over 20 years ago. You should be able to have an excellent result. Best wishes to you.