Elan B. Singer, MD

While it is a good thing to be an informed patient and actively engaged in the sizing of breast implants, it is the surgeon's responsibility based on his/her expertise that determines final implant size.  There is simply no way to answer your question without a physical exam.  Downsizing may or may not require additional lifting procedures.  There are many factors that determine this (i.e. skin quality, size of breast implant, submuscular vs. subglandular implant position).  I recommend going in for a consultation with a board-certified plastic surgeon to find the answers to your questions.  Good luck!

Dr. Singer