I have 420 cc for 9 years, implanted through the armpit under the muscle. What should I expect for removal recovery and look?

This is always asked when removing implants and it one of the most challenging to answer due to the number of variables that affect the final outcome.  These variables include the degree of muscle release performed at the original surgery, weight fluctuations, skin elasticity, amount of breast tissue before the implants were placed, age of patient, duration of implants and degree of breast tissue changes related to the implants.  After a physical exam, a plastic surgeon should be able to give you a better answer.  Your appearance will improve with time after having the implants removed. If you are unhappy with the results after 6-12 months, fat grafting or breast lifts can be an option.As far as recovery, it will depend on the surgery.  If you are having the capsule removed along with the implants or addressing the muscle, this can be more involved than just removing implants.  This would also determine the incision that would be needed.  Good luck with your surgery.Dr. Eric J. Wright

Once removed, you may be somewhat smaller than originally since your breast tissue has been stretched with the implants. also, your skin has been stretched, you may have some excess. The incision may need to be placed under the breasts, especially if you want capsules removed. It should not be as painful as the first time since the muscles will not be stretched.

This is highly dependent on existing breast volume without implants, and degree of droopiness if any.In general the breast will be flatter and may have the nipple and breast appear somewhat lower on the chest wall. If there is a relatively  large amount of laxity such that the breast is low and overhangs the fold or the nipple is at or below the fold as well, then a breast lift would be needed to give the optimal appearance.