Previous Breast reduction gone wrong, now what...any suggestions for a revision? (Photos)

Dear Leilaan: So sorry to see the results of your previous reduction. A secondary mastopexy could be done but with the following caveats.
You should be totally nicotine/smoke free (even second hand smoke) .
The surgeon would be best served by the having access to the previous operative records (to see which blood supply was left intact) .
You should realize that new size is limited to your own breast tissue volume (B/C ish) if you don't us an implant.
And finally, it may not be possible to remove all of the scar formation below the areolas.
You should schedule post surgical hyperbaric treatments pre-op (hoping to cancel them post-op). It's far easier to cancel if not needed than to add on if needed urgently.
The physical pain/discomfort will be minimal. But if you travel to an out to town surgeon, you should be prepared to stay in town 10 days or so after surgery.

You had a rough time with recovery from that surgery... The good news is that time has been your friend and there now appears to be substantial laxity in the skin which should permit significant improvement in the cosmetic appearance. A great deal of or potentially even all of the bad scarring can be removed to give the body a new opportunity to form prettier scars. It will be very important to get your previous operative note for your next surgeon and also to optimize any medical issues that could impair wound healing. Examples include diabetes, nicotine use, and immunosuppressant medications. Good luck!