Is breast implant removal with lift possible to achieve small natural breasts again? (Photo)

Natural proportional breasts cannot be achieved for you with just a lift. Consider smaller implants for more normal proportions. Good luck...

It is hard to properly guide you without examining you and assessing the skin quality and amount of breast tissue that you have.  Normally after removing very large implants there is a large void that will require some volume added to achieve a relatively youthful breast with good shape and contour.  I would recommend removal of implants with a lift and fat grafting to add a small amount of volume so the breasts dont look completely deflated

I do a lot of breast implant removals with breast lift.  It is a great surgery, for those who are good candidates, and allows you to get back to "all you" with a higher breast. The key to a successful surgery is how much natural tissue you have, and if you have enough tissue to have a safe breast lift and enough tissue to allow for some shaping. 1. You need to see a plastic surgeon who does a lot of breast revisions.  The physical exam gives a lot of information.  2. If you have saline implants, you can preoperatively deflate the implant, which allows your natural tissue to expand and the breast may rebound some of the drooping.  Unfortunately, when you have silicone implants, we cannot preoperatively deflate you. 3. If you do Vectra 3D imaging, you can approximate what your natural tissue volume is by estimating your current volume and subtracting the volume of your implant.  The key for you is #1. 

to lift try  mastopexy augmentation 5th generation technique at google and for  filling i would  suggest to you  utilize a lesser volume lets say  280 cc but with higher projection and with anatomical shape that will easeally camouflage a major volume but  with less weight, besides anotheer important advantages

Thank you for the question and pictures. Accurate answers to  your questions would require an understanding of what you mean by “natural small breasts”. As you can imagine, these terms may mean different things to different people; therefore, it will be important for you to communicate your goals carefully, with your carefully selected plastic surgeon.   In my practice, I ask patients to use as many “visual aids” as possible during the communication process. Once you have shown your plastic surgeon what you would like to achieve, he/she can let you know whether or not your goals or achievable/realistic. Keep in mind, that much of what can be achieved will depend on how much native breast tissue is present and how skillfully the procedure is carried out. Generally speaking what breasts look like after explantation  depends on several factors such as: the quality of skin elasticity (the better the elasticity the better the skin will bounce back),  the size of the implants used (the larger the implant the more trouble you may have with redundant skin), and the amount of breast tissue present at this time (which may have changed since the time of your breast augmentation). 
Life experience since your breast augmentation procedure, such as pregnancy or weight gain weight loss, will  potentially influence the factors discussed above. If you take these factors into consideration and apply them  to your specific circumstances you may get a good idea of what to expect after the implants are removed.  Again, I would suggest that you select your plastic surgeon carefully; it is likely, that working together you will come up with the best plan of action. You may find the attached link, dedicated to breast implant removal surgery concerns, helpful to you as you learn more. Best wishes.

It is nearly impossible to remove 500 cc implants and not need a lift - and with a lift you'll have scars and it's hard to say that they will look "natural."  But they don't look "natural" now because women your size rarely have breasts that large naturally.  So the question might be which appearance would you prefer, forgetting altogether the issue of "natural."It's a big change to remove implants that large and women who have had that much breast tissue (or, rather, have been able to fill out that large a bra) are often unhappy when they remove their implants.  You would be much smaller, and you would have the scars of a lfit.  And even if you get smaller implants your tissues look like they're stretched out enough (some sagging, with your history) that you would need a lift.  And that means scars, and additional risks.You should go for two more consultations but you may get the same answers you got on the first one.  If you keep going you may eventually find a surgeon who will do what you want - but that may not actually be the best thing for you.I hope that this helps and good luck,Dr. Alan EnglerMember of RealSelf100