Will an in office procedure fix this? Do I need pocket tightening instead? (Photo)

I had a breast lift and augmentation exactly one year ago. Per my plastic surgeon, I was a “difficult” case. I had breastfed and had an 80lb weight loss. He also said I had tubular breasts. I’ve included before & after pictures and what they look like now. My right breast is heavier and fuller towards the bottom it also feels “saggier” and like there’s more skin on that side. I have nipple assymetry. I am supposed to have an in office procedure next week. My surgeon stated he believes he can remove some skin in the area I have circled and fix the nipple asymmetry that way. My question is will this be a long term fix? Will tightening up the skin near the crease make this breast not feel so heavy and “saggy”? Do I need pocket tightening instead?