What is the best way to fix over-dissection of pockets? (Photos)

Thanks for your question, & including your photos! In my experience of doing thousands of breast augmentation surgeries, I’d favor a mix of internal capsulorhaphy, using both strong internal permanent Sutures, & a “popcorning” method. I don’t usually use ADM for people with your situation, although some surgeons do. Best of luck to you!

Thank you for the question and pictures. Internal suture repair of the breast implant capsule ( capsulorrhaphy) will be necessary to prevent breast implant displacement and better center the breasts on the chest wall.  In my practice, this repair is done with a 2 layered permanent suture technique. The use of acellular dermal matrix is an option (although not usually necessary)  especially if significant implant rippling/palpability is present.
During the procedure, the capsule close to the sternum may need to be opened as well ( reverse capsulotomy). Depending on your goals and measurements, changing breast implants may or may not be necessary.
 I generally suggest patients wait at least 6 months before undergoing this type of surgery. In my opinion, the more developed/stronger the breast implant capsule, the better the repair ( sutures “hold” better).
 I also think that postoperative management is very important in  achieving successful results after this type of surgery. I advise my patients to keep their elbows by their sides as much as possible for several months after the procedure is performed.
 
 Best wishes.

Your
breasts were asymmetrical in volume, shape and position pre-operatively.  Also, your nipple-areola complex was aiming
outwardly and the breasts are widely separated. 
Simply adding implant would not solve the problem.  The surgeon centered the implants under the
nipple-areola complex resulting in lateral dissection and displacement.  Using a passive technique such as GalaFlex or
suture will improve your lateral displacement but will not correct the
asymmetry or direction and position of the nipples.  I recommend a modified Benelli approach.  Using a circumareola incision, your breast
tissue is reshaped creating upper pole fullness, elevated higher on the chest
wall and more medial to increase your cleavage. 
At the same time, smaller implants can be replaced in the retro-pectoral
position, rather than subfascial.Best Wishes,Gary Horndeski, M.D.