Mastopexy advice needed. Would removal of the skin achieve the lifted look? (Photo)

Thank you for your question and photos. You had an anchor scar mastopexy. This technique's design creates a boxy breast. The vertical scar is made about 5 cm long which is unnaturally short. What happens, when one squeezes the breast tissue in, it has nowhere to go but laterally or medially giving a boxy look. Over time, the breast pushes south, and the horizontal scar keeps rising upwards in the lower pole of the breast. I abandoned this technique 20+ years ago. You can see that most surgeons who answered your post and use this technique, see nothing wrong and they call it a nice result.
If you were my patient, I would do a vertical lift, without moving your nipple/areolar complex, it is high enough. This technique will round your lower poles and makes it round as opposed to it's boxy look now. You will not need an implant.
See a board certified plastic surgeon for an in person consultation/evaluation. Good luck.

Your breasts could be revised with the incision under to breast to remove the excess skin. This could be done in the office under local anesthesia, and is not as involved as your first lift.

Easy part : slight contour irregularity left breast. A pinch of skin removal under loocal would likely solve this.

Hard part : Mature breast, good volume patient wants no ptosis at all.

Regardless of the type of breast lift, and as you can see there are many, natural breast tissue goes south over time leading to a tear drop shape breast with some degree of droop. The skin is smarter than the doctor and will find its new normal often related to how much breast volume/ weight the breast has.

So what is a gravity defying breast? It is usually a patient that has little or no breast tissue who has an augmentation. This type of patient has no natural tissue to go south over time.

How could you become a patient with a gravity defying breast? Have a reduction to remove most of the natural tissue that responds to gravity and then replace it with an implant . While I share this concept with you most patients don't reduce just to go larger but I hope the idea makes sense.

Your PS did a normal and standard breast lift that gives both vertical and horizontal tightening of the breast. While some promote other options what you had removes the most loose skin.

Hope this helps