Should I wait to replace implants after an explant?

Unless there are extenuating circumstances, most patients can achieve a good outcome with a single stage procedure, i.e. remove and replace the implants during the same setting. It may be necessary to make some adjustments to the pocket, but doing this can save the need for a second operation.

If your implants are already under the muscle, it is very reasonable to consider a 1-step approach to replacement with smaller implants along with any other revisions necessary. This is more convenient than the 2-step approach. There are sometimes occasions when doing the implant removal and replacement in 2-steps is better, so in order to give you a more detailed answer, you would need an in-person consultation. Hope that helps.

Although your specific issues can only be determined by physical examination, there is no good reason to change implant pockets. Subpectoral placement is the optimal site and by switching sites you make going back to the subpectoral site very difficult if or when you decide that over the muscle wasn't a good choice. Further, removing implants with the intent of replacing them later makes no sense now that we have great abilities to modify your current pocket when changing implant size to smaller. I think it would behoove you to visit other surgeons who specialize in revision breast surgery.