Although it is not possible to give you precise advice without direct physical examination or viewing photographs, I think ( based on your description) that breast lifting will likely not be necessary. I make this assessment based on the fact that you have good quality skin, that you had no “sag” preoperatively, and the fact that your implants have been in place for only 8 months. Unfortunately, it is not possible to comment on the benefits/necessity of “internal work” without photographs. You may also find the attached link, dedicated to breast implant removal concerns, helpful to you. Best wishes; hopefully you will be pleased with the outcome of the procedure performed.