Options After Explant and Anchor Mastopexy

After having my saline 550cc implants for 10 years, I decided to have them removed 14 months ago and do a breast lift. There was nothing wrong with them, I was just tired of them. (I am 36, no children, 5’5 and weigh 140) My implants were under the muscle and I had them removed along with the capsule. I did a breast lift (anchor) at the same time. I knew within a few weeks that my breasts didn’t look right. The incisions under the breast are very long and can be seen on both my lateral chest and in my cleavage area. There is no real shape to the tissue and there seems to be a lot of extra skin. They began to drop and sag within 1 month and it has caused stretch marks on my breast that I didn’t have before. I have what appears to be significant scar tethering in some areas. The breast tissue doesn’t appear to have been really shaped- I have areas that look like tissue has been scooped away and other spots where it feels very hard. When I lay down, they immediately fall up and into my armpits. They continue to get further apart as well. I cannot do anything without the right breast “jumping” up. Animation deformity I think is the term? My nipples are also saying hello to the sky. I have consulted a few times with my surgeon and have been told removing a little skin from under the breast or a fat transfer are my only options. I had also been told that removing skin that way was probably not a good solution at my last consult with my dr (same dr) so I feel like I’m getting conflicting info. I didn’t have this issue with the animation when the implants were still in. When I asked about the bad and very visible tethering and the breast “jumping” I was told to be careful and not flex my chest muscles. I don’t think any of those options are really any sort of a long term answer. I absolutely do not want implants placed again and really don’t want to do a fat transfer. Could a revision lift fix the concerns I have? What further questions should I be asking?