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

It appears that the implant position is not your primary problem. Certainly, if you would rather have subpectoral implants, that can be done. Your main issue seems to be your lax and ptotic soft tissues. A revision of your implants can certainly be performed (either by contouring your current pocket or by creating a new dual plane pocket, likely with reinforcement material) but just by redoing the mastopexy you should have a far superior result. Given the way you scar, I would take certain precautions regarding how sutures are placed as well as postoperative incisional care.

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 recommend explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

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.

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.

I do not recommend people travel, long distances for elective surgical procedures.
I recommend patients have multiple in person consultations with local plastic surgeons before considering selecting a provider.
I suggest patient have a clear understanding of the procedure and not the plan last minute.
If you unhappy with the outcome and revision surgery and then start for the beginning by having in person consultations with local plastic surgeons, which can get a proper assessment and better understanding of treatment options, Guy
Swapping implant position is less than ideal, but may have advantages.
Every time you have repeat operations, things become more complex and more difficult and the chance of having high-quality long-term outcomes goes down.
That does not mean you don’t have the potential for a quality outcome.
Consult with local board certified plastic surgeon who have a proven track record with breast implants, breast reductions, and breast lift surgery.
For second opinion consultations come prepared to bring with you a complete set of proper before and after pictures and a copy of your previous operative report.
Those should be available from your current provider if you request them.
I don’t know how things work in Turkey, but I would think they would have an obligation to release your medical records to you if you request them. I suggest you simply ask for copies of your complete medical record, including all before and after pictures and the operative report to make sure.
Best,
Mats Hagstrom MD