Had my breasts enlarged 8 years ago with 460cc high profile implants. Should I get a breast lift with or without implants?

After having those very large implants for your small frame for 8 years, you now have more skin and probably less natural breast tissue due to erosion. You can have the implants removed and a lift, but your size would be less than your original breasts. You could possibly have much smaller implants placed at the same time as the removal and lift. The safest route to go would be have the removal and lift in one procedure and wait 3-6 months to see if you like the size and allow soft tissue healing, then make the decision to add or not add implants. That would probably my recommendation. Good luck.

Dear Terrific799503,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery