Which procedure would help me achieve higher sitting implants? (photo)

From your photo you may want to consider smaller implants to better fit your frame. By selecting the correct volume and profile you may find the results are more in line with the look you are wanting. See a board certified plastic surgeon near you for a consultation to learn more.

I would recommend downsizing to a smaller implant, potentially using Galaflex (internal bra) and potentially performing a lift. A lot of these decisions depend on a physical exam. I would recommend seeing a board-eligible or board-certified plastic surgeon with experience in revisionary breast surgery.

Dear Genius6876,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

You have nice result after augmentation, implants are grossly symmetric and nipples on the top of breast mount; you have low sitting breasts and that is best that can be achieved with augmentation. However, if you want both breast crease (IMF) and nipples in higher position, you will need a true lift with anchor like scar. Is it good alternative for what you have? In person consultation with your surgeon and/or second opinion consultation with another surgeon with known expertise in breast surgery, is recommended. Good luck.

You are correct in your assessment. The implant pockets have opened inferiorly allowing the implants to sit too low on your chest. A surgery to correct the pocket position is called a capsulorrhaphy, and it usually involves both sutures and a resorbable mesh to reinforce the repair.