Will I need a lift if I remove breast implants? If so, is it best to do at the time of removal or at a later date? (Photo)

Breast implant removal should be performed with complete en bloc capsulectomy without lift.  The capsule should not be left in place or the space will not heal.  In patients that believe that their implants are causing them illness, leaving the capsule behind will not result in any improvement in their symptoms. Because the removal of the capsule and lift performed together can compromise the blood supply to the skin, breast and nipple to a potentially devastating degree, they should never be performed together.  After the explantation with capsulectomy is healed, you can develop a plan for further surgery if it is warranted and is safe from a technical standpoint.  

hello boucher3  The removal of breast implants that have been placed either for cosmetic or reconstructive purposes is a surgical operation.  Breast implant removal may be performed as a single surgical procedure or combined with additional procedures, as follows:

Simple breast implant removal, without removal of capsule tissue around implant
Removal of tissue surrounding the breast implant (capsulectomy)
Removal of escaped silicone gel in breast tissue (extracapsular, outside of capsule layer) from silicone gel-filled implants (breast biopsy)
Breast lift (mastopexy following breast implant and/or capsule removal) #lift #post-op

Thank you for the question.
It is difficult to give you any type of specific advice regarding the need for breast lifting, without in-person examination. In other words, whether or not you should have a breast lift will depend on your physical examination and personal goals. Sometimes, in “borderline” situations, it is best to have the breast implants removed, allow for the breast skin to contract as much as it will over the course of several months and then make a decision whether or not to proceed with breast lifting surgery at a later date.
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.
Consulting with a well experienced board-certified plastic surgeons in person will be helpful. Best wishes.