Removing 1000cc Breast Implants, Replace With 500cc, Then Lift; Can it Be Done in One Procedure? (photo)

The optimal way to correct your problem in my opinion is to remove the implants and let the pocket settle for a few months

Human tissue has a certain ability to contract , however in an unpredictable fashion.Therefore after about three months you will be able to assess whether you in fact even want implants any more ,whether  a lift will be sufficient  or if implants are necessary with or without a lift

Alternatively you could remove the 1000cc implants and replace them with the 500ccimplants without performing the lift at the same time .If a lift is necessary later it would be easier to assess what type of lift would be best .A smaller lift could even be done under local anesthetic

Without knowing the details of the case, a definitive evaluation of the surgical plan can not be made. Typically, there should not be a problem to perform the implant exchange and lift at the same time.  As others have pointed out, the photo does not depict a typical result with 1000 cc. To verify the optimal surgical plan, consult with 3 - 4 experienced and expert board certified plastic surgeons.