Thinking of Downsizing Old Implants (D to B)

I had saline implants put in in 1990 at the age of...

I had saline implants put in in 1990 at the age of 20 to perk up already-sagging B breasts. I wasn't after size, just lift. The implants gave me that lift.

It was great until the past 5 years or so, when I found my breasts dropping more and more with each year. Also, they became misshapen when lying on my side.

I had breast augmentation 20 years ago and am now dealing with a low, swinging D. I would like to go smaller, such as a perky B, but wonder if there would be a problem with extra skin and also don't want the "pie slicing" look of most reductions. Any thoughts?
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