23 year old saline implants - Should I have my implants REMOVED or just a LIFT? (Photos)

Hello, my implants are saline and are 23 years old. (I am 56). I weighed 118 lbs when I had them done. Maintained weight for many years until menopause. (Then gained 80 lbs). I’ve currently lost 60 (20 over the course of a year or so and 40 recently within six months). I feel my natural breasts are literally “hanging” off my implants … they have weird looking “humps” and “slopes” in certain angles. I’m not sure if they need to be REMOVED followed by a lift - OR just “lifted” and keeping the implants “if” it’s deemed they are salvageable (I sort of wouldn’t mind going back to a smaller breasted woman for the back nine of life - or so I think …). I sometimes feel the “100,000 bumper to bumper warranty” is well beyond its lifespan …. Also had tummy tuck at same time 23 years ago and due to the weight loss I have lose skin (I made another post regarding this) I feel the skin is very loose again but could be “pulled up” if I had removal / lift / reverse tummy tuck. Pictures showing everything and even pulling skin upwards and showing the amount of skin I’m talking about. Thank you!