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Hello and thank you for your question, and for sharing your photos. The best procedure will likely be a revision reduction procedure, your previous scars can be used and the goal would be to help lift the breast tissue that has started to descend, "bottom out" to a higher position, and also remove some of it. If you are happy with the size of your current breasts in a bra then you may just need a mastopexy/lift without removing additional tissue, which again likely can be done using your current incisions.