Horrible looking breasts , no lower pole, 3+ years post treatment - do I need another mastopexy? (Photos)

325cc high profile implants, submuscular, procedure done in 2022. I had saggy, empty breasts after 4+ years of pregnancies and breastfeeding. Looks absolutely horrible. I asked for a review in 2023 with no solution but to keep wearing the band I have the feeling the pockets were not done carefully, breasts never dropped, torpedo looking and nipples looking down. They have suggested another mastopexy with implant replacement, lower profile and smaller in size. I want some fullness in my breasts, I am looking for 300cc moderate profile but I think they want to go the easy way. Do I have capsular contracture? Iupper pole is full and hard, if I press my hands and push my implants, the result would be good. Makes me think there is no need for another mastopexy.