Is a lift necessary with an implant reduction of 200 cc's or less?

This question cannot be accurately answer without photos and more information. In the absence of this information, my best guess is that you would have a satisfactory appearance following the explantation without a need for a lift.

Dear Phenomenal965131,
it is hard to tell for sure without an examination. 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

Unfortunately, you have not provided photographs or told us your bra size. I cannot tell you if you need a lift or not without photographs. Please resubmit your questions with photographs to get a more accurate answer.

Best Wishes,

Gary Horndeski, M.D.

In many women, decreasing 100 to 150 cc's and tightening the lateral pocket can avoid a lift. Going down 200 cc's might leave excessive skin.