Breast implants are not identical to breast tissue. Since they are not identical and not attached, they can undergo differential descent. It appears that your implants have stayed in one position and your breast tissue has gone to another position. At this time, I recommend explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained, if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.