Implants Keep Bottoming Out Due To Skin Elasticity - options? (Photos)

In 2023, I had a BA and after 8 mo post op, my implants bottomed out and my areolas expanded. September 2024, I had a revision with a BL, capsulorraphy internal bra, implant exchange and areola reduction. From my BA, I had 440cc, high profile, motiva implants. I exchanged them for 385cc, high profile, mentor implants. I’m now 6 months post op and my implants have again bottomed out, although I went smaller in size, removed 200 grams of natural breast tissue and did the internal bra. My surgeon wants to do a second revision and this time stitch my muscles onto where my ribs are instead for extra support. My skin has very high elasticity so I can understand some stretching but I have zero upper pole fullness and my nipples are extremely high. Immediately after surgery I noticed the implant placement was still pretty low on my chest despite my goal wanting it to be extra high and tight because I know my body and how my skin reacts to pressure. I do not want an internal mesh so I’m wondering if anyone can give me second opinions on my situation! Thank you