Pseudosymmastia options - how can this be foxed? (Photos)

What are my options for fixing this? I believe it's not true symmastia since the implants are under the muscle and pockets separated when shoulders are back with no bra. Rather it seems like the fascia and skin lifts off the sternum. Mesh along the sternum? Something like J plasma to tack it down? Capsule revision to move the implants more laterally? Downsizing? (I like the current size). Thank you.