Support and high profile implants sub muscular
Thanks for your question. You have a difficult problem, and I would go
back to your surgeon for a revision or seek a board certified plastic surgeon who does a lot of breast surgery. If you had longstanding large implants and a recent capsulectomy, it can lead to a typical scenario of a very thin lower pole that leads to ripples and bottoming out. You will probably need sub muscular implants with a neosubmuscular pocket and support with either a dermis product (alloderm/flex hd) or more recently a silk product (Seri). Both add cost to the revision but there is really no other good way to hold up the implants and thicken the lower Breast envelope. After years of implants, further revisions are more like reconstructive cases to obtain good results.
As you may already be aware you will need a revision operation. You ask good questions regarding available options and techniques. The answer depends on many factors such as your existing breast tissue quality, the quality and usability of your inner capsule and your expectation about your final outcome.
It will take a combination of techniques to allow you to achieve your vision.
A lot of things are possible.
Correction of severe rippling and bottoming out after breast augmentation
I'm very sorry to see your result. Of course an in person examination and evaluation is necessary to give you a proper answer. However based on your photos The use of textured breast implants placed in the submuscular location with the addition of AlloDerm or other matrix for support and most likely a revision of your breast lift with further skin excision is necessary. Please consult and experienced board certified plastic surgeon.
You will need a dermal matrix
From your photo you will at least need an Alloderm type matrix to treat the bottoming out. This issue should be approached using breast reconstruction techniques. Your problem has a solution that can be determined with proper examination.
Thank you for the photos and I would suggest using a protein matrix, Submuscular placement and textured Sientra implants that don't ripple but a full exam is really needed