Have them deflated and find out

I won't elaborate on the several other answers that were provided, as they are all accurate and sound advice. A consult with a board certified plastic surgeon may answer your question outright. However, if there is still any question after you have the consultation I will offer you a possible way to find out if you will need a lift after implant removal. The method will ONLY work if you have purely saline implants. If this is the case, then you can speak to your board certified plastic surgeon to request that he/she deflate one or both of the implants. The deflated implant(s) may be left in place for a few months to see how your breast(s) and skin respond to the loss of volume. After that time your plastic surgeon will have a better idea of your tissue characteristics and will be better able to guide you in your decision for either implant replacement alone, lift alone, a combination of both or simply removal of the implants.

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If you had implants to try to correct sagging, then you probably will benefit by a breast lift when the implants are removed. But if you had small, relatively flat breasts with the nipples in a good position originally, then you don't need a lift.

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The answer to your question is that it is very variable. Somw women do not need any lift.  Some may require a small lift, and still others may require a large lift. There are those that do not have enough tissue to even perform a lift.

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