Your youthful (biologically) skin will redrape and shring around the downsized implant, without any other maneuver rather than the compulsory capsulectomy and, well likely, a multipoint capsulorrhaphy to relocate at higher position the overly low current submammary fold and, probably, also set...
Unfortunately the moderate though remarkable pectum excavatum deformity makes impossible a very close cleavage. Nevertheless the highest cleavage occupation is achieved with subfascial plane location of implants, which (among other adavantages) allows exceeding the anatomical barrier posed by ...
Thank you for your question and photos. It is an obvious miscommunication with your surgeon. You have 475cc saline implants filled to 700cc! We overfill implants by 30-50cc as recommended by the manufacturer, not 200cc. They are large for your frame. At this point, I would let your breasts heal...