I am sorry to hear of your experience. These photos show numerous problems: 1-implants way too large for your body, 2-extensive stretch marks, 3-the appearance of thin and poor quality soft tissue envelope (one would need to see you in exam to be sure), 4- asymmetry, 5-capsular contracture, 6-poor scarring. It is hard to understand the implant choice, and it is upsetting since board certified plastic surgeons (not sure if your surgeon was one) should have an understanding of the permanent damage that can occur when placing extreme sizes in patients with poor/thin skin envelopes. None of these problems are surprising given the implant choice. Extreme implants are more likely to have capsular contracture, are more likely to cause stress on the skin resulting in extensive stretch marks, are more likely to cause further tissue thinning of your natural tissues (and may even be causing deformity of your rib cage underneath), and result in widening of scars when done with a lift. Unfortunately fixing this will require multiple steps and will be quite costly compared to the initial surgeries. I recommend downsizing your implants for sure, addressing the capsule, placing the implants in a new pocket and under the muscle if they aren't already. Supportive material such as mesh or Alloderm or other material may be required, and revision of the lift will also be required. Fat transfer can also be helpful, though you look quite slender from what we can see, and may not have donor fat to use. Please be sure to start with an in person consultation with a board certified plastic surgeon (certified by the American Board of Plastic Surgery) who has experience with complex breast revisions.
