Your current implants are too large and heavy for your tissue and frame. You do need to go smaller and smaller implants will sit better in your pockets. The larger areolae can be made smaller and raised if needed.
The actual problem is that your implants are too large and heavy for your now stretched and thinned tissue. I would suggest going smaller. Mesh could be helpful. Just removing excess lower skin may not raise up the implant and skin does stretch.
Hi, photos would help answer this question, but in principle the size of the nipple areola complex and its height can be adjusted with surgery. If the breast appears to droop more on one side than the other, you may require an adjustment of the skin envelope of the breast at the same time as the...