my surgeon’s office said to start using the silicone tape on my scars, and since I think I’m developing a reaction to it? (photo

Just based on your photos, you do not have keloid scarring. However, your anchor incisions might scar like those around your areolae. You might reconsider doing a lift to avoid that scarring and just live with a little sagging. You also could ask about minimally invasive radiofrequency skin...

Yes, you can just have a lift, or small reduction to lift the girls, remove the excess skin, and make you smaller. Just doing a lift will remove excess skin and make you smaller.

Your photos are not helpful and do not show your whole breasts. I would suggest going for a consultation and discuss options like a fat transfer. Fat will not correct sagging, and fat volume is limited.

If you do not have implants and your surgery was over 6 months, then you probably will be fine to pierce your nipples. You may lose sensation with the piercing. If you have implants, please don't pierce because of the increase of bacteria inside the nipple from the piercing.

First an examination is needed to see if a lift can safely be done with the explant. "En bloc" surgery is used for a radical surgery in cancer patients and is not the capsule removal. You can have the capsules removed, especially if they are thick. I suggest going for consultation and discussing...

Your breasts can be reduced a little more and lifted so there is less risk of bottoming out from the weight. Women with large breasts who need reductions have stretched skin that does not hold well over time. going smaller can be very helpful to prevent more sagging.