Breast lift & implant removal small breasts - unnatural looking results?

To do a lift, there must be adequate breast tissue to support the circulation to your nipple. An examination is needed to determine this. If it is questionable, the lift should not be done at the time as the removal, and may not be able to be done ever. If you are an A cup, your tissue may be too thin to support your nipple with a lift. Your skin may be the main source of blood supply. Once the skin is cut around the nipple, that source is gone.

Dear BAquestions23,
it is hard to tell for sure without an examination. You can remove implants and wait to see the final results and later decide on further steps. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

When a person has a breast augmentation that significantly increases their breast size, the skin stretches to accommodate the change. Your photos suggest that, with you breast implants in place, you have C/D cup breast volume with C/D skin volume. When your implants are removed, your breast volume with return to the A/B range, but your skin volume will not. The breast lift will reduce your skin volume to match the breast volume inside it.