450cc, under the muscle implants for 2.5 years - breast explant lift vs. no lift?

I had my implants for 2.5 years and starting this year started to get really sick, decided to remove my implants. I decided to do en bloc capsulectomy but Im really not sure whether I need lift or not? My original doc said he doesnt think i need a lift i should be fine. I have 450cc under the muscle, he thinks im young and skin will bounce back fine. Without lift is less money and less time in OR, leaning for no lift but dont want to regret it? What do you think??