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19 year old scar is too far under breast fold - how can I improve the scar and positioning? (Photos)

I had breast augmentation at 17, I'm 35 now. The shape of the breast and scars are almost identical to what they were since I had the operation. I always hated the scars. In fact, a few months after the procedure, they re-did them and since then they stayed as they are. They always show under bras and the area is completely numb, which is a weird sensation. The implants are in good condition, so I don't need a replacement but as I'm getting older I would love to make them smaller. I believe I had 450cc of silicone gummy bear implants. I would love to have maybe half the size if I did replace them. My main concern is, if the pocket is made smaller, the scar would be even further away from the breast fold. I cannot afford putting the implants lower as I think they sit already slightly low so my nipples would be out of position. I am 1.58 CMS tall (5'2') Weigh 45 kgs, 99 pounds What is your opinion: 1: if I kept the same size, is there anything on the shape or position of my breast that needs improving? Can the scar be moved upwards somehow? 2: Can I do anything now on these old scars to improve? 3: What would the outcome be if I wanted to get a smaller implant? What's the lowest I could expect to go with the current scar position? Could it be moved upwards to the new and higher crease fold? 4: I also have some rippling when my chest is parallel to the floor on my outer sides and on the left inner side when leaning to the left. How can that be improved?

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