What to do - wait for the incision to close or remove and replace the implant? (Photo)

Just from your photos, it appears that your implant is exposed and the incisions will not heal on their own. Your implant needs to be removed now and give your tissue time to heal before inserting another implant. Do this now before an infection begins. You may need to also go smaller and have and internal bra of mesh. If the implant is not actually exposed, then you can do wound care and let the areas heal. An examination will tell if the implant is actually exposed. Please follow closely with your surgeon.

Hello,
This is a tough situation because that much wound breakdown could be from bacteria being in the pocket or on the implant, even if there isn't any, and the wound broke down because of some other reason, the implant could still get infected. If you are otherwise healthy and your incision looks like this roughly 6 weeks after having an implant exchange, it is quite possible that the implant is infected and needs to come out.
If at this point it seems to be healing well, there isn't any redness or thickening of the skin in the area, and you feel fine, meaning you aren't having much pain in the area, and you aren't having fevers an chills, then you could try to leave it in place and hope everything heals over. If you have any of those issues at this point, being quite far out from a normal implant exchange, then you should remove the implants and put new ones in once things are healed down the road.
I'm sorry you're going through this, I hope this gets resolved quickly for you!

Dear RebelSpirit,
I understand your concern. In case your implants are exposed, then they should be removed due to risk of infection. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery