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Dear lizmayor,in case you don't have issues with implants, then they can probably be used again. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
If your implant has never dropped from surgery, the same implant can be used when the pocket is released.
Thank you for the question and if you have capsular contracture or implant displacement it would be recommended to use new implants and an ADM during a future pocket revision Dr Corbin
Gummy implants typically do not sag and bottom out, but you did choose large implants for your frame. Right now, you are probably fine. If you have more sagging, you should go smaller.
Do remember that you did not like your breasts prior to surgery, so with removal only, you still probably will not be happy. I would suggest going smaller and a moderate profile.
Yes, you large implants are probably the cause of your neck and shoulder pain. At 5'2" and 130 pounds, 520 cc implants are large and heavy. I would suggest going down to around 300 to 350 max.