Third Fat Transfer Fail... now what? Would implants be better for someone like me?

First I'd want to know your surgical history to understand the cause of your current issue, but depending on your desired breast volume, I would likely offer you a combined breast lift and breast implant surgery.
This combination would not only bring your nipples into a more youthful position and re-shape your breasts to give them more upper pole fullness, but would allow some of that scarred skin to be excised and, with careful surgical planning and execution, and better symmetry between your breasts to be achieved.

Thank you for uploading these photos. Fat transfer produces a moderate improvement. Since you haven’t had a major change, you’re seeing the potential for implants and why so many people choose this option