6 months post op and my breast look almost as bad as before. Is this considered acceptable? (Photo)

Dear TinkerBellaPup,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Thank you for sharing the pictures,if you don't want to go for a 3rd breast surgery then you might keep them the same for now,but if you're unhappy with the size and shape difference ,you can have another one done to fix the previous surgery..As your implants are over the muscles,it's expected that they might drop a bit more by time.

At six months post op you are seeing your final results. In order to improve asymmetry a revision would be needed. The larger breast could be downsized further and/or differently sized implants used. If you are not satisfied with your surgeon's recommendations you can visit with another board certified plastic surgeon for a second opinion.

You do have one breast that is larger than the Other. Please discuss your concerns with your surgeon now.

Based on your series of nice post of photos, I agree you need a revision and a downsizing of the larger breast as far as implant size and reacting. Expect these to range in the $10,000-$15,000 areas. Best to virtual consult with.