What Are The Options For This Animation Deformity After 2 Surgeries? (photo)

The first step in treatment is diagnosis.  The fact that contraction of your muscle deepens the crease informs us that the lower inner border of the dynamic pectoralis, which has indeed been "released" from its lower sternal and costal origins and now lays superficially across the implant surface, is attached to the skin, perhaps via the implant capsule.  This attachment must be divided.  Repositioning the implant in the subglandular space will fix the problem, but this is not the only way to correct the deformity.  My choice would be just to do your right side, and I believe this will also improve what other responders are calling a "double bubble."  Can radially score lower pole parenchyma to be sure.

At least one such case is shown in the breast revision section of the gallery on our website.  The problem is not uncommon. 

Thank you for the question and pictures.

Because there are many advantages of keeping the implants in the partial self muscular position,  I would suggest that you avoid replacing the breast implants in to the sub glandular position if at all possible. Instead, I would suggest that you have the right breast implant pocket explored;  it is likely that there is muscle and/or scar tissue that can be divided to improve your situation significantly. I also think that additional skin excision along the horizontal axis will be helpful to improve the contour of the breasts.

I hope this helps.

 

 

Sometimes when breast implants are placed under the muscle, the contracting chest muscle can make the implant "jump". This animation deformity is quite disturbing as you know. Moving the implants to a location above the muscle will help this problem.  You should speak to a board certified plastic surgeon about this revisional procedure.