Hi-
I agree that larger implants and greater degrees of muscle dissection from the sternum increase the risk of muscular deformity with contraction, but this is something that generally is seen with the implants in place. If this occurred while your implants were in place, then you are likely to have the problem after they are removed; if you did not have the problem with the implants in, you are unlikely to have it after removal- in other words, a well-performed breast augmentation should have a low risk of leaving you with muscular deformity or noticeable weakness, and therefore removal of implants placed during a well-performed operation should be low risk as well.
Naturally, the best way to assure you have the lowest risk possible of an untoward outcome is to be certain you see a surgeon Certified by The American Board of Plastic Surgeons, and ideally, that that surgeon also has significant training and experience in breast surgery.
