What Are My Options For Implant Revision After Breast Feeding?

There are several ways to approach your problem.  Based on the photos above I recommend replacing  your current implants with slightly larger ones to fill the breast and center your nipples and lowering your breast fold.  Another option is to keep the current size and do a small breast lift however, the breasts still are likely to look high on your chest.   There is problably a lesser chance of losing nipple sensation during the revision than during the first surgery but it is still a possibility.

You're in a good situation and have several option available to you. It will range from just having larger implants placed to just having a lift, to a combination of both. It all depends on the "look" you are going for and how large (or not large) you want to be. I suspect that you would do best with implant replacement (silicone gel is perfectly safe) with perhaps a small elevation of your nipple. Losing senesation in your nipples should be a very low risk unless you are wanting to get very large implants. Hope this helps.

I think you would benefit from revision of your breast augmentation. Lowering your breast implant into the existing “breast envelope” will help with the cosmetic concerns that you raise. In other words, the breast implants will sit lower on the chest wall and the nipple-areola will point forward. Unfortunately, lost  of sensation is always a possibility with breast surgery;  although,  not very likely given the dissection involved  in your case.

Make sure you're working with a well experienced board-certified plastic surgeon. Best wishes.