Breast augmentation revision gone wrong? (Photo)

I agree that you have had some recurrence of medial displacement of your implants.   Although it is not ideal, you do not have symmastia. Your revision surgery was well thought out, and unfortunately medial malposition is the most difficult to correct.  Your inferior breast position looks good. I would consult with your surgeon, and wear appropriate support for many weeks.  However, the position is not going to improve, and if it bothers you enough the only solution will be another revision.   I would wait several months before making a decision.   Overall you have a nice shape and some people naturally have their breasts very close together.  It is possible that you have some degree of pectus excavatum ( where the rib cage slopes inward towards the breast bone, which tends to make the breasts fall together), and if that is the case, that is not correctable.

If they are on top of the muscle moving to a dual plane position will help separation, but ideally you should wait a year before contemplating surgical revision. What you can do in the interim, as Dr. Mustoe says, is wear support. The question is what type of support and to increase separation you need unconventional support that applies gentle pressure on the breast bone, the sternum, between the breasts, something like wearing the support bra back to front. You need to provide the support between the breasts (as well as the usual breast support required).

Are your implant over the muscle?  I might be a better idea to have them under the muscle. If they are under the muscle you may need a capsule repair as well. Good luck.

Having followed your  previous posts,  I am sorry to hear about the difficulties you have experienced. Based on your history, it appears that the revision breast surgery was well thought out and appropriate. However, based on your photographs, it does appear that you have some recurrence of breast implant displacement, both  medially and inferiorly.   Why you have had a recurrence, is hard to know; sometimes, despite best efforts, the recurrent breast implant malposition does occur. It may be, down the line, that additional surgery will be necessary to improve your situation. In my practice, capsulorraphy and use of acellular dermal matrix (or  biosynthetic mesh) are the best tools to help patients  in your situation (sorry there are not a lot of other  acceptable alternatives). Best wishes.