High riding implants, what is wrong? (Photo)

There is an inverse relationship between the nipples and the top of the breasts.  Your nipples are low on the breast mound and almost have a downward tilt.  At a minimum, you need to have your implants lowered.  This may or may not be possible because you may, in fact, have a tight inframammary fold.  If so, either you need to put in smaller implants or move the nipple areolar complex up, or both.  With reference to the capsular contracture that was operated on by your surgeon, some remnant of the capsule may still be present or, if non-pathogenic bacteria is the problem, you may have re-encapsulated once again.  At any rate, it's time to represent your problems to your Board Certified plastic surgeon.  He or she will have the best answers as to what you should do going forward. 

a revision usually resolves it quite easily since you are seeing what the problem is and know what needs to be released.  You need to decide if your upper poles are good where they are or if you really want less fullness on top.  If good, you have to consider a lift.  If not good and you were okay with a more natural look, your fold must be lowered and you must accept a lower breast on your chest.  It would be nice knowing what kind of capsule your surgeon found at your revision.