In need of final revision - please help (Photo)

Your left breast is also bottoming out some, and even some on your right, and may have a capsule making it less round. I would suggest going smaller and revising the pocket on the left. Going smaller decreases the risk of another capsule and less weight to bottom out again. Mesh may need to be used to give that area more support. These implants appear to be too heavy for your tissue and frame.

Dear thatgirl225,
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

When you perform capsule work on one side and not the other they will either stay uneven or it will take a long time for them to even out. It could take 6 months or even a year. If you are that far out you could try to adjust the pockets or remove both capsules and start back at the beginning without any scar tissue or capsules in either breast. I would recommend you see a plastic surgeon who has a lot of experience with breast augmentation revisions so they can determine which options will work the best given your situation.
Hope this helps!