Inframammary scar not in crease. Are there any options to correct this? (Photo)

You have what appears to be an inferior malposition of your implant.  This is when the implant shifts too low due to stretching of the internal pocket, and as a result the scar shifts up onto the breast.  The distance between the scar and the nipple usually is unchanged in these situations.  Although you did not show a front view of the breast, I would guess that the nipple looks like it is too high on that side now that the implant dropped.  This problem is usually a relatively straightforward correction.  The lower pocket needs to be tightened internally and stabilized to restore the original size of the pocket.  There are many ways to do this but I generally use a "popcorn" technique where cautery is used to shrink the capsule, which can then be oversewn for extra strength. This will shift the scar back to its proper position and will rotate the nipple back down as well.  In patients with thin tissues, the repair can be reinforced with a material such as Strattice to add even more durability.  If you are bothered by your breast appearance, you should consider re-visiting your original surgeon to assess and correct your issue.

The position of the scar changes as the implants drop and settle, and having it end up in the lower surface is not a problem and does not need correction. What is more important is the final position of the implant. Be sure to wear a supportive bra if you have concerns that they are dropping too much and follow up with your surgeon if you have questions about how you are healing.

Thank you for the question. The scars can get higher a little bit after the implants settle. As long as the nipple-to-breast position appears to be OK, the ncision will fade and get less visible. 

Inframammary scars tend to be located in the crease or they may ride up onto the bottom of the breast a little. If the implant drops too low, the scar will rise furter as the implant descends. Without a front view, it is hard to tell if this is your situation but it seems likely. Repair requires another surgery to close the bottom of the breast pocket and reposition the implant higher. Repair is not always needed if the breast shape and implant position look good. There are several options to ensure a solid surgical repair, such as reinforcing the repair with an internal support material. Your surgeon will be able to offer good advice and options. Best wishes. 

If the implants appear too low-bottomed out-then a pocket revision to lift the implant and tuck the scar under the breast can be done. See below for more information: