385cc SRF, capsulorrhaphy without implant exchange? How is it done? (Photos)

8 months post op from augmentation- 385cc SRF. After 18 years of maimed breasts & scarring, I’m so thankful for the procedure. But at 3 mo po, my left started dropping & bulging laterally. Getting capsulorrhaphy this week. Surgeon said implant replacement is not required. I'd like to exchange them to be even. But it’s a lot more $. How is it done without taking implants out during suturing? Pics for reference. my research is fruitless.