What should I expect with breast implant removal?

The smaller the implant and the shorter the amount of time it has been since placement, the greater the chance the breasts will return to their preoperative state. It is very difficult to predict breast size following explant b/c breast implants and weight fluctuations over time tend to thin tissues, cause a decrease in size, and create more droop.
Usually removing them and performing a lift at the same time makes the most sense as some patients clearly need a lift and only want to go through one surgery. If you are borderline, it is not unreasonable to remove the implants and then observe a waiting period of six months before the determination for breast lift is made. This will give your breasts time to bounce back and your PS time to determine what type of lift, if any, is needed

No, your breasts will not return to their original shape due to the stretching with such large initial implants. Loosing 5 pounds will not make a difference in your breasts. You might even consider going again smaller, like 250 cc's. You do now have a size that is much better proportioned to your frame.

After explantation, patients are often dissatisfied because of the hanging skin envelope. For that reason, many patients undergo a simultaneous lift. The technique I recommend is explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.