Other than redoing the lift, including repositioning your breast higher, you could do some micro-needling for the scars and even consider minimally invasive skin tightening with radiofrequency like Thermitight.
If left untreated, bottoming out can lead to a further degradation of the breast shape, with the implants continuing to drop below the natural breast fold (inframammary line). This can cause the breasts to look overly saggy or lose their youthful, lifted appearance. In some cases, it can also...
You would do well with a vertical lift and implants, can be on the smaller side, to give you fullness and lift your breasts. I would suggest meeting with a board certified plastic surgeon and discussing your concerns and options.
