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. 

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.

The problem you describe is (in my opinion) the main downside of going under the muscle.  To correct it I would have both implants repositioned above the muscle.

Correction requires a re-operation and release of the pectoralis muscle along the lower medial pole of the breast this would decrease but not totally correct the problem.  Also the fascial bands can be released as well that are creating the crease along the bottom of the breast.  

Thanks so much for your question.  There are a few different ways to approach this problem.  It's always a solution (although not a popular one) to remove the implants and allow things to heal, then replace the implants.  Another is to place the implants in a "new" pocket.  This can either be on top of the muscle or under the muscle in a neocapsular pocket.  Finally you can use a dermal replacement material and try to repair the muscle so it doesn't contract in the manner it currently does.  This can be successful but can also have limitations based on your anatomy and the forces that the muscle exerts on the repair.  Hope that at least gives you some direction and useful topics to discuss with your local surgeons.