Scar pigmentation/loose breast after implants put under the gland, what are your suggestions? (Photos)

I encourage you to visit a board certified plastic surgeon near you for a consultation. It appears a revision to the lift or at minimum a scar revision would be helpful. The implants can be exchanged and placed under the muscle at that time.

Dear Intellectual25596,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

I always recommend placing the implants behind the muscle in a lift or reduction to help give the implants better support, better coverage, and less sagging potential. Your already stretched out tissue from large breasts does not support the weight of implants well and will just sag. I recommend going down in size as well for the same reason. Find a doctor in your area for better follow up care.