Will my concave breasts after bilateral 660cc implants removal improve? (Photos)

In general, the smaller the implant and the less the amount of time it has been since placement, the greater the chance the breasts will return to their preoperative state. Breast implants over time tend to thin tissues, cause a decrease in size, and create more droop.  During this period of observation, consult with a board certified PS who can determine if a breast lift and/or breast implant or breast fat transfer would provide the result you are seeking.
Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon 
Los Angeles, CA

Dear 2014Anna,
you are still in early postoperative period and your results should improve with time. If you want to avoid implants, you can consider fat transfer to fill the gap. If you have any concerns, 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hello, and thank you for your question. (Keep in mind that an in-person consultation is necessary for the best advice.) Based on your photos, breast lift surgery (after implant removal) may be a good option to improve the shape, contour, and perkiness of your breasts. The surgery can be designed to minimize scar appearance. If you decide to pursue surgery it’s very important that you find a surgeon whom you are comfortable with and trust and who evaluates you in-person and tailors an individualized treatment plan for you and your aesthetic goals. Best of luck!
Matthew A. DelMauro, M.D.

Thank you for your photos and question. You are extremely early in your recovery so you may experience some changes in shape and laxity. However, you had large volume implants so you may need to consider an additional procedure in the future if you are not happy with your results. I suggest allowing at least 6 months before considering a secondary skin removal and lifting procedure. Until then, follow your plastic surgeon's post operative protocol and follow up as needed to ensure a smooth recovery.

Thanks for your question! Simple explant with no additional management techniques will leave quite a bit of lax tissue.  Skin rarely 'de-stretches' once a large implant forces it to expand. Some surgeons will do an internal stitching of the tissue to the chest way to help mitigate the droop, some variety of suspension sutures, reshaping, or use radiofrequency to encourage skin contraction. For aesthetic improvement you will most likely need some second stage mitigation whether it be new implants or one of the above options. Best of luck! 

You had very large implants removed which have stretched out your tissue over the years. Tightening can be done with minimal scarring with radiofrequency treatments like Thermitight. It is not a full lift, but does tighten and has minimal downtime. Otherwise, you could consider a lift, getting smaller implants with a lift, or even a fat transfer. Please discuss your options with your surgeon. For now, you need time to heal and wear good compression bras.

You are early in your recovery and can expect some changes as you heal.  However it is possible you will need surgical intervention to get the look you desire.  At this point you want to continue to follow the advice of your plastic surgeon for optimal results.

Thank you for the question.  Your concerns are certainly understandable; some general thoughts may be helpful to you.
 
Generally speaking, what your breasts will look like after explantation depends on several factors such as: the quality of skin elasticity (the better the elasticity the better the skin will bounce back), the size of the implants used (the larger the implant the more trouble you may have with redundant skin), and the amount of breast tissue present at this time (which may have changed since the time of your breast augmentation).
Life experience since your breast augmentation procedure, such as pregnancy or weight gain weight loss, will potentially influence the factors discussed above. If you take these factors into consideration and apply them to your specific circumstances you may get a good idea of what to expect after the implants are removed.  
 Patience is definitely indicated after removal of breast implants; it will take many months/year for the skin to “bounce back” and for you to see the final appearance of the breasts.  It is very likely, based on your photographs and my experience with many patients who have undergone breast implant removal surgery, that you will be much happier with the appearance of your breasts several months from now than you are now.
 
I hope this helps. Best wishes.

Allow several weeks before making any decisions about your breast.  It can take several weeks for the breast to settle and take shape.  Wearing a good compression bra will help expedite the process.