Without pictures it is difficult to say if you may benefit from a Mastopexy, however, implant replacement using an internal mesh for support does not require the use of textured implants, if such implants are still a concern for you since those associated with Breast Implant-Associated Anaplastic Large Cell Lymphoma have been removed from the market. The available mesh used for internal support have not been linked to breast cancer.
Sadly, there are no simple non-surgical "fixes" for this problem. Should you decide to have it redone in the future, ask your surgeon to discuss the use of one of the "internal brassiere" techniques, where the weight of the implant is supported internally, using a construct such as Alloderm or Stratttice, rather relying solely on the skin and breast tissue to hold the implant weight.
Yes, it does look like it could be an early capsular contracture, however, if early on post procedurally, the capsule might be corrected with massage (displacement exercises) with the possible addition of medication that can help to attenuate the capsule.
