Breast pocket and implant size

It’s very difficult to answer your question with any useful meaning and I don’t think anybody is going to give you an answer that is actually helpful.
To make an assessment regarding the outcome of a plastic surgery procedure we almost always need to see a complete set of proper before and after pictures.
When downsizing implants a modest amount, the capsule will usually shrink to accommodate the implant, and for most patients, they should expect a temporary change impress the parents that will evolve overtime as the capsule shrinks.
For a modest implant reduction is probably better not to manipulate the capsule. It is simply give it time , knowing that it will evolve. If the tissues were stretched out substantially with a much smaller implant being placed, then patients may need to have some tightening of the capsule or skin envelope.
This varies substantially from patient to patient and will not see pictures. We can’t really begin to make an assessment.
I suggest you discussed this with your provider.
If you need a proper second opinion consultation, then schedule those as in person consultations with other providers in your community.
For second opinion consultation, patient should come prepared with a complete set of proper before and after pictures and a copy of your previous operative report.
It may also be beneficial to have current progress notes or an assessment from your current provider.
Best,
Mats Hagstrom, MD