Silicone Breast Implants

2016 full capsulectomy of the right breast. Current photo of my breast as of Dec 1, 2022. My breasts are roughly 7.5 years old. The total investment is around 10k with the revision surgery. I, indeed, still have scar tissue. The surgeon explained he couldn't remove it all due to the integrity of the pocket and tissue. He was pleasantly surprised that my capsular contracture did not return. However, I still feel scar tissue in the pocket. The implant feels more firm compared to my left. They will never feel the same. I constantly massage it, so it never returns to the grade/severity it was before. I will likely get them redone after having children. Considering a fat transfer given, I will be removing all scar tissue this time and looking for more symmetry. Initially, we wanted to keep the asymmetry as my natural boobs were. Now, I have desire for evenness and possible nipple reduction due to them getting larger from future pregnancy and going larger in breast size and shape.

Pic 1/arms by my side
Pic 2 arm slightly lifted
Pic 3 leaning backwards

So I didn't think this would happen to me but it did. I noticed a change in my breast a little after my 1st year post op. My right breast did not drop as much as my left. Now I'm 1 year and 6 months along and I've noticed a major change in how my right breast feels. Its firm, sits higher up, and also has changed its shape. Doctor said I'm at stage three CC. Told me to go home and massage aggressively and lay on my breast to break up the scar tissue. I've been doing so for the last two weeks, noticed minimal change. Really debating on getting revision done. Doctor recommended Capsulotomy. Heard there is a high risk of reoccurrence. Is getting it done really worth it? Doctor quoted me 2800 for the revision. I'm a little concerned that it's just going to reoccur again and then I'll be really disappointed. Doctor has done a great job on my breast. Not his fault that this has happened. I only noticed the difference in shape when I lift my hands over my shoulders and during sex. I also feel a difference. How long should I aggressively massage for until I know if revision is mandatory to fix the issue. I feel like its all just a gamble at this point. I would love to hear ppls feedback on revision esp Capsulotomy. Again 1 year and 6 months... Can my breast improve once scar tissue has been established on the implant?