7 months post op. Not the look I wanted or was expecting (Photo)

Thanks for your question! Your breasts are not saggy. In fact, you got a great surgical result. However, if you want a fuller, more "high profile" implant look, you could replace the implants to go larger and more projecting. Good luck!

The larger the breast and/or breast implant the more potential there is for some overhang/crease on the upper abdomen. Your baseline skin laxity, breast volume and the final implant volume all play a factor.
Your result appears to be quite good based on the photo - but if that's not achieving your goals you could upsize. Going bigger could make them "sag" more though. I frequently incorporate internal bra meshes to reinforce the lower fold/skin. Nothing can withstand gravity forever though.
If I was your surgeon I would encourage you to give them some more time vs rushing into a revision. Larger implants could lead to more revisions for other reasons. Need to consider all the pros/cons.

An in person evaluation is best but from the posted photo it appears that the nipple position is correct and wouldn't indicate a lift is recommended. Did you select high profile implants? That may provide more upper pole fullness. I encourage you to visit with a few board certified plastic surgeons for personalized recommendations.