Cheri Grand

I have read both doctor comments and agree completely about consulting first with a physician. In fact it most likely be with same surgeon who did my 'mommy fix' surgeries. While I know pictures would help, I'd like to avoid that but I wanted to ask in more detail.. I still have lots of tissue (obviously, if I'm still getting a C cup out of them), what would procedure do? Remove tissue to make room for implants or simply add smaller implants to what I have? Or could it be either option?