If you notice a significant change in your breast size with weight fluctuation then it is wise to be as close to your goal weight as possible before considering removal. If your breasts tend to stay the same regardless of weight you can proceed when you are ready.
Thank you for your question. While it is possible to remove implants via an armpit incision, a capsulectomy is much more difficult. An under the breast incision is required if the capsule needs to be removed more than partially.
When an implant is ruptured it is best to have it removed as soon as it is conveniently possible. The surgery is done on an outpatient basis. It's likely that removing the implant as well as the capsule will be recommended. See a board certified plastic surgeon near you for a consultation. ...