Breast implant and lift revision (with larger implant exchange)? (Photo)

An examination is needed to be certain, but just based on your photos, you appear to need a lift only.

Dear newme89,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Those indentations indicate persistent vertical skin excess and are easily corrected by simply excising skin along the inframammary fold. However, if you were to go back to surgery, I believe other issues like nipple areolar complex asymmetries and vertical scar appearance should also be addressed to get the best possible outcome overall.