Hi. My implants were 20 yrs old, so I decided to have them out. At the first appt at the plastic surgeon's he simply drained the saline. It was clear fluid. Then he gave me a week (or more) to decide if I wanted reconstruction surgery or more implants. It turned out that I am fine now with my real breasts. I'm 59 yrs old, and don't demand as much of myself as I used to! So at the second appt the dr. simply made an incision under each breast and removed the implants. They were submuscular. I did not have any encapsulation. Yes it hurt for a while, but it was manageable. Easy peasy! And altogether about $600!!!! Best of all, I think some related problems are disappearing! Neck and shoulder and rib pain and problems plus fibromyalgia. Exciting to wait and see! So I just wanted to post this to let some of you know that it can be easier than you might think.