can occur with excessive pocket dissection inferior and huge implants due to the weight issue. Scars are individualized according to the procedure being done and if using a mastopexy to achieve correction, long scars can result. But since this is 'water under the bridge', you are best served by focusing on trying to improve the results that you have. Without photos, its impossible to corroborate your PS's opinion that they are 'off'. The lesson here is that just because everything went great the first time doesn't guarantee that it will the second time and in general, its always easier to use a local surgeon.
Thank you for your question. Without pictures, it is hard to give you any specific advice regarding your case. Implant bottoming out can be as a result of surgical technique, pre-op anatomical differences, postop recovery and activity, and a host of other factors. It can be very difficult to fix and may require a revision with additional soft tissue reinforcement, especially in people with larger implants. Your case sounds complex enough that no online forum is going to give you the answers you need. Only an exam and discussion with a board certified plastic surgeon is going to adequately give you the information you need to make the best decision for you.Best of luck!