Second breast implant revision concerns - implant placement was still low and has bottomed out. Can this be corrected? (Photos)

Thank you for posting your question here, My answer will be based on the limited information and pictures provided , for a detailed and more bespoke answer I would encourage you to consult with a plastic surgeon in person.
I am sorry that you have to deal with this issue , I am sure it's frustrating . The fact that you started bottoming out this early and that you had this issue twice raises the question on how good the tissue quality is and wether it can sustain an implant . There is no wrong or right answer , each surgeon will have their way of dealing with this issue. you can always consider explantation , possible wedge excision and re-enforcement of the IMF with sutures or a mesh , with potential fat grafting to the upper pole. and later down the line if you are not satisfied with the size and fullness either consider further fat grafting or placement of an even smaller implant . That being said it is hard to predict how your tissue will react to it and there is always the possibility of having this happen again.
I hope this helps, best of luck !

There are two variables that cause implants the bottom out.
The first is the surgeon inability to create the pocket correctly.
The second is using excessively large implants.
Often it’s a combination of both.
Correcting this deformity is not easier straightforward, and surgeons who don’t have a lot of experience doing it successfully may fail.
If your surgeon created implants that bottom out and failed to correct the deformity, then they probably don’t have the skill and experience to do this kind of surgery correctly.
At this point, I highly recommend you get a second opinion and look for plastic surgeons who have extensive implant experience.
Ask providers to show you all of there before and after pictures of previous patients who had bottomed out revision surgery.
Ask each plastic surgeon what their revision rate is for implants the bottom out and what their success rate is for correcting it.
Each time someone has had previous surgery makes the situation more complex.
The best chance of quality outcome comes from the first procedure.
If the first procedure isn’t done correctly, than the chance of a long-term quality outcome will subsequently go down.
Provider selection is the most important variable at this point.
It always was.
Best,
Mats Hagstrom MD