Would I benefit from Galaflex mesh and pocket suturing? 8 years post op, 575cc moderate profile (photos)

My vote is for capsulorrhaphy (internal suturing) and a Gala internal bra. Your implants are on the large side, and they need support in order to maintain the upper pole fullness that you want.

Dear sheilajoles,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Your implants are too heavy for your tissue and even if repositioned, will sag over time. I would suggest going smaller, tightening your inferior pocket and supporting with mesh. I don't think you will need a lift. also, placing the implants behind the muscle will give better upper breast fullness and more support to the weight of the implant. You need to go smaller.