Will a periareolar lift and some mild scoring/breadloafing be appropriate treatment for a revision surgery to fix double bubble?

Dear Imaginative382231,
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

The pocket will need to be revised and possibly supported with mesh. I am not specifically aware of what your surgeon means by "breadloafing" since this is not a surgical term. The lift may not be needed once the pocket is corrected.

Your photos show a significant degree of double bubble, and unfortunately it seems very unlikely that it will improve without surgical correction . You will need a capsulorrhaphy to re-set the inframammary fold back to its original position, and a breast lift. Make sure that the muscle isn't pulling where the crease is, which is animation deformity. That can also be a contributing cause.