Sharp/tearing pain when moving 6 years post-op gummy bear silicone implants - What is causing this pain? (photos)

From the front, your nipples appear to be located below your breast fold. Therefore a donut lift may not be sufficient for you based on your wish pic.

Unfortunately, you have not provided photographs or told us your bra size. However, breast implants can result in complications as well as BIA-ALCL. A better alternative for you would be a breast lift with fat transfers. More information is needed to give a more accurate answer. Best...

It appears you are immediately post op. You need to give several months of healing and allowing the implants to settle before determining such things.

Dear Inventine245488 Thanks for posting your question.This is a very clever question to ask and I will try to explain it to you:There are many factors to consider to decide augmentation only or augmentation and uplift.You need to have an examination of your breast with measurements. That gives...

The implants appear to be in appropriate position. What looks amiss is the breast tissue has begun to sag over the top of the implant. This can be corrected with a revision to the lift.

This is always difficult to answer without an in person exam to perform measurements and determine skin quality. I really do not prefer to do a lift on patients in your age range for multiple reasons. I will say a downward facing nipple is not corrected by an implant alone.