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Anyone had a breast lift after implants?

I had breast implants about 5 years ago and I got them rather large, 690 cc’s to be exact. Now my skin is pulled down and saggy. I wanted some advice from someone who had had this done, I wanted to know if you went smaller the next time. I like the size of my breasts now but if they are just going to continue to keep me in surgery for lifts, I don’t want that. I want to know if I should go smaller and what the procedure was. Thanks for the answer! Bella