Would I benefit from an implant replacement/revision?

First of all, based on your photographs, you do not have tuberous breast deformity. If your looking for an improved overall aesthetic outcome, I would do a revision with site change and lift (circumareolar vs circumvertical) and the new implant and sofit tissues would be supported with a P4HB scaffolding for long term stability. We would have a discussion regarding your aesthetic goals and size requests and once evaluating you with bio dimensional planning, I could come up with a surgical plan with an appropriately sized implant to give you what you are looking for.

Dear azmama602,
it is hard to tell for sure without an examination. I recommend my patients to replace implant every 10 years in order to reduce the chance of complications. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Measurements are needed to see what is the widest implant your breast base can accommodate. However, I doubt you can go much bigger. I agree with both physicians' assessment.

The first doctors suggestion is reasonable. The issue is better understanding your true shape desires.

Another option is removal, wise pattern lift and delayed augmentation to give an even more youthful look.

There are several variables going on at the same time, and rather than thinking of revision surgery as one procedure to break it into it. It’s different sub components.
A Lyft has certain dropbox, but would put your nipple position in the more ideal location back up on your breast. Your breast do you say fairly far apart on your chest wall. Considering that, the choice of high profile implants may not be ideal. Widening the diameter of your breast, especially towards the midline with the use of wider lower profile implant may suit your body shape better.
I don’t see a really strong indication for having a revision surgery. Your breast sit on your chest wall where they always did, and having augmentation doesn’t move the breast position. If anything implants can over, emphasize breast anomalies like breast divergence.
If a moderate change justifies having revision surgery then maybe it’s worth it.
I generally encourage people to have multiple in person consultations before scheduling surgery. Nothing wrong with getting a few more opinions..
Understanding your own candidacy for the procedure is a big part of maintaining long-term satisfaction from plastic surgery outcomes. Understanding your candidacy includes understanding the inherent limitation of any one surgical procedure with a good understanding of what the procedure can, and cannot accomplish. Women who have divergent breast or breast that sit far apart on the chest wall should ideally have had a discussion about this during the initial consultation.
Best,
Mats Hagstrom, MD