Uneven breasts, lumps and dents after breast lift and implant replacement. Implants to small. Surgery abroad. (photo)

I had a breast lift with change of implants due to sagging and Ripples. I swapped from saline over the muscle to gel under the muscle. I told my doc I wanted to be bigger but he just changed from 375 to 380. They seem much smaller. Also I have a 2cm wide lump on my left side nipple. And also a dent. On the right side it seems I have a puffy patch that hangs over the tighter skin. Please tell me this is not permanant? Also can I go bigger in a year or so? Feeling so unhappy