Questions about downsizing, profiles, and lifts (picture included)

I am 5'2, 108 pounds, and have a 27" ribcage. I had my first breast surgery about 2 and a half months ago. I am looking to downsize but am unsure on whether to change profiles. Currently, I have 425cc Natrelle style 20 silicone HPs under the muscle. I was a deflated and very saggy C-cup before surgery and wanted to end up in the full C to small D range. I was recommended "no less than 400cc" by my doctor. I am now sizing out much larger and want a revision (250 - 325cc). I also had a full anchor lift. I feel as though I have the terrible scars without the actual benefit of lifted perky breasts. It was explained to me that a high profile implant would mean more upper fullness, which I lost after breastfeeding my children. Instead, the high profiles look like they hang low without providing fullness to upper chest.  Also, my asymmery is still present. My right breast is noticeably larger and the areolas are large and more uneven than before. All these issues were discussed with my doctor before surgery but were not adequately addressed. I am very unhappy and disappointed with my result, and I'm left needing the same things I did before surgery (lift, smaller areolas, improved symmetry). Which implant size and profile would better suit my petite frame? Can the implants be positioned higher, or is it a matter of changing to smaller implants that'll help with the positioning? Due to the submuscular placement, would I need pocket/muscle revision for smaller implants? Would I need a minor or full lift? How long do I need to wait before I can have my areolas reduced without serious risks? Another problem is that I have very visible rippling. Would a lower profile mean even more rippling? My doctor is now recommending Natrelle style 45 because it's the highest profile, which is supposed to cause less rippling, but I fear it will make matters worse.