Implant removal. Any suggestions?

Without photographs it is indeed difficult to determine what you will need.  It is also impossible to predict whether or not you will need a lift.

It is very difficult to comment without a photo. Generally, if you wanted to go really small, you may need a lift. Again, it all depends on body. If you have saline implants, we will deflate initially to determine if you will need another implant or lift. There are many possibilities here. Best to discuss with your Plastic Surgeon. Good luck.

Need photographs to determine whether a lift and which one would be preferable. A drain for a week would be very useful as well. Best of luck

Typically when removing larger implants and going from a DD size to B-C cup size, a lift is indicated otherwise the breasts would be very ptotic.  Maybe if you post photos we could better understand your situation.  Best wishes, Dr. T. 

It is quite common to have implants removed and a lift performed in order to reshape a breast where an implant has been present for some time. If you like the volume you have with the implants it is possible to keep the implants and have a breast lift performed. I encourage you to meet with a few board certified plastic surgeons for consultations to help you determine the right surgical path for you.

Without photos, no one over the Internet can give you specific opinions. However, if you are a D with implants and go down to a B after removal, you will probably need a lift to deal with the excess skin.

Breast implants are like a pillow behind your breast. Size of your breast after removing the pillow is hard to predict and can't be controlled. If your breast hasn't gained or lost since the implants were put in then you can expect them to be about the size they were back then with the implants not there. Also, it's important to understand the pillow of a breast implant does not lift the breast and taking them out does not make them sag. This supposed effect is an illusion created by the volume fill out or the volume removal. A lift procedure means shifting the nipple-areola and breast behind it up higher on the chest and has not effect on real volume. It has different incision and risk tradeoffs. 

I would recommend you remove the implants and heal from that before considering a lift. You may not need one.  Wear a good compression bra while healing.