radical reduction....with implants?

hey everyone, im seriously considering getting a second breast reduction this year. i was 18 for my first one (im 30 now), and while im very happy i did it, i wish that i had more removed. i think i might have been an E or an F and now im a C/D. as a nonbinary person, i considered just getting a masectomy, but i like having breasts, i just wish they were something i could show off when i want to, rather than being a central focus all the time, if that makes sense. that's why the radical reduction idea really appeals to me, and i think i'd like to be an A or a small B.

yesterday, i had a visit with the new doctor and he explained that he could get me to a B, but the way he would do it is with an impant, so that the breast retains its shape because with time the tissue starts to break down and sag again. he said he can make the implants as small as i want, but im a little put off by the idea. i've heard some doctors say it's not a good idea to remove healthy breast tissue and put silicon in its place, but i also know a lot of friends who have gotten reductions and ended up with boobs bigger than they wanted because if they were any smaller it would compromise the shape.

the only reason im considering it is because i hate the feeling of my breast sagging and sweating against my stomach, and i'd like them to maintain their shape for as long as possible this time around.

tl;dr has anyone had a breast reduction with implants? how did it go?