My right nipple started out lower, and has just dropped more. Do I need a breast lift? (Photos)

In such cases, both the implant position and the surrounding capsular tissue should be carefully assessed. Therefore, a physical examination should be performed first, and if necessary, ultrasound or MRI imaging may be recommended for a detailed evaluation.
The most appropriate approach in your situation is to first determine the degree of capsular contracture.
If the contracture is mild, fat grafting can help improve symmetry and softness.
If it is more severe, implant replacement combined with a limited breast lift (mastopexy) may be a better option.
Since blood flow to the nipple and surrounding tissues may be reduced after mastectomy, this must be carefully evaluated before any lift procedure. For this reason, it’s crucial that the final decision be made in consultation with an experienced reconstructive plastic surgeon.