You will not cause yourself any medical problem if you leave your deflated implant in place. If you want them both simply removed, one way to do this with little cost is to do it with local anesthesia in a plastic surgeon's office. This would involve injection of lidocaine to...
50 pounds is a lot of weight and your breasts may sag more. Therefore, I would wait until all of the weight is lost before pursuing cosmetic breast surgery.
Typically, breast implant #removal or #explant surgery is done with the patient under #anesthesia. However, many patients report the recovery and healing is much more easier than the original breast augmentation procedure. Often local #anesthetic is also injected into the original scar which ...