Over the years, breast implants tend to result in a loss of elasticity of the breast skin and internal supporting structures, as well as a thinning out of the breast tissue and skin. The smaller the implant the less this effect of the implant on the breast. Even without implants, however, women sustain this type of change due to the influence of pregnancy, weight change, hormones, cigarette smoking, sun exposure, age, and other factors.When implants are removed, the breasts will usually look different than they did prior to augmentation surgery. Some of this difference will be due to the effect of the implants mentioned above, but some will be due to the other factors mentioned. Implants will play a role in the difference, and the smaller the implant, the less of a role they will play. Also, the longer the implants were in, the greater the effect. To say that all changes are the fault of the implant, however, neglects to take into consideration the other factors. The reality, though, is that most women who have their implants removed still find that their breasts are attractive. An uplift many be necessary, but this may have been necessary even without implants because of the natural tendency of the breasts to droop with time.Hope this is of help!