Normal Looking Breasts After Explant Surgery?

It is not uncommon for plastic surgeons to stage or separate these operations.
No one can predict for sure, how your breasts will look after downsizing.
It may depend on the size of your implant. Removing a 200cc implant is very different than removing a 600cc implant.
Let me offer an analogy which may help to explain:
If you look closely at your friends or women after the health club, you will see a variety of different looking stomachs following pregnancy. I have seen women who have had 3 children have an absolutely flat stomach that is more attractive than many 20 year olds. And I have seen women with one pregnancy who have had stretch marks extend over their entire stomach after one child. Do you think you could predict this before having their first child?
After you "deliver" the currentl implant from your breast, it will be difficult to predict the contraction of your breast skin.
Therefore you can pre-emptively perform a breast lift or wait and see what will be required at a later date. Obviously, I understand the inconvenience of a two stage operation but if you want to do all you can to minimize scarring this may be your best result. I have been impressed, in my personal experience, that after removing implants that have been in place for over 20-30 years, the skin will contract better than I would have predicted. Of course, it may look as if they had some loss of upper fullness but they appear age appropriate for a 50-60 year old. This is just one surgeon's opinion so take it for what it is worth. This is an artistic as well as a medical judgement.
I hope this helps.

If you are having pain in the left breast, it might be from a tightened scar, capsular contracture.  If the capsule is removed and the implants are replaced you might not have pain but still get to keep the implants.  The implants themselves should not cause pain.

Breast volume and shape after implant removal can vary based on a number of variables, including your pre surgery breast volume, implant volume, age, duration of implant, skin laxity etc. Since you had saline implants you can actually deflate them preoperatively to get a sense of how much breast tissue you have left. This also allows the breast tissue to rebound from having the pressure of the implant removed and the skin can contract to some degree. Then you can make a final decision about needing a lift, new implant or fat transfer. See a board certified plastic surgeon to discuss all of your options. 

Breast implant removal (explant surgery) can be performed for a number of reasons.  Each individual may have their own reason for wanting their implants removed.  Some common reasons are: she is in a different place in her life now and would prefer to be without implants; she was never happy with her result e.g. they were always too big; she has an implant complication such capsular contracture or rupture/leak; a common reason now is that she has health issues and feels that this is due to the implants i.e. breast implant illness.
Results will obviously vary from each patient.  The main factors that will determine how your breasts look after removing implants will be: what size implants you have in, whether or not you have had children and breastfed, how long you have had implants for, and importantly what your skin quality is like.  Over time your skin changes.  It may be a little looser and a little more aged. Your breasts returning to similar aesthetic prior to implants would depend on these factors.  One way to look at it could be like “looking like you have lost weight and your clothes are too baggy”. 

Just like making the decision of who should place your breast implants, choosing the right person to remove them is very, very important. I recommend seeking someone certified by the American Board of Plastic Surgery and has extensive experience with these types of procedures.There are several options and details that are important for you. First of all, because you have saline implants, it is possible to deflate them while still in your body, allowing your skin to shrink around them and potentially require less of a breast lift afterwards. Some patients do require a lift, some do not. That decision is based on how much loose skin and breast tissue you have.There are options available to fill the breast after removing the implant. Fat grafting to replace the volume loss is a great possibility as is an auto augmentation procedure done at the time of the breast lift.I wish you the best,Dr. Gabbay.

Following explant, there is bound to be some degree of deflation and skin laxity. Some of the skin will recoil, but, depending upon the volume lost (in your case significant), some of the skin will not snap back and remain lax. Often times, these patients will need a lift/mastopexy, if they chose not to replace the volume lost.
With regards to your specific question, I would expect some skin laxity post explantation, at least initially. You have youth on your side which may allow for greater recoil due to the inherent elasticity of the skin. Ultimately, this often a function of the degree to which the skin was initially stretched with augmentation. This may take several months to settle.
However, if the snap back is not satisfactory, this may necessitate a lift. Explant and lift do not necessarily have to be done simultaneously. You could stage the procedure if you are hoping to avoid the scar burden associated with lift. This would allow you to evaluate the appearance of your post explantation breasts and then decide whether to proceed with a lift.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

It is not uncommon for women with breast implants and have a baby to notice changes in their breasts.  The degree of changes with depend on the location (subglandular vs submuscular) and the size of the implant.  The aches and pain you are having in your left breast could also be the result of capsular contracture.  If your implants/breasts are large, simply explanting them may leave you with a ptotic/drooping breast.  You are young and I am assuming otherwise healthy, so your breast tissue and skin envelope should retract to some degree, decreasing the amount of droop you may have.  This being said, you may still want a breast lift down the road but  amount of incisions could possibly be reduced.  You other option is to have a lift at the same time during a single operation.  It is best to be seen by a plastic surgeon to examine exactly how your breasts may change after removal of the implant. Hope this helps!

Hi, you can either remove the implant while leaving the capsule or do a capsulectomy. The first is a simple procedure and relatively inexpensive. Microscopic amounts of gel may remain in the capsule. While the latter will enable the surgeon to remove as much silicone as reasonable without creating significant deformity. This operation may require a larger incision. The surgery and recovery time will be longer. General anesthesia is usually necessary and subsequently all of the costs associated with this operation will be higher.
In addition to that, excess skin will be expected upon removal of an implant. To get the natural breast look, there are a number of options you can choose from. In our office, there is regular breast lift, natural breast augmentation, or California Lift. The last two is almost the same in the sense that they both uses fat transfer. Find a board-certified plastic surgeon that has extensive experience with your case and discuss realistic goals and expectations. Best of luck! #RealSelf100

The outcome will depend on several factors.  It depends on how large the implants were, and how stretched out the skin is. The skin will contract, but sometimes there is extra skin that need to be removed.  Also the nipples may have to be lifted.  This may need a breast lift, (mastopexy), to address the issues.   It will take several months to a year to really see the final result.  Please talk with your board certified plastic surgeon. Discuss your concerns. Together you can make a plan that should work for the both of you.

Many  patients can look very normal following removal of breast implants. There are many factors which affect your outcome. Some patients may require revision surgery for scar removal or a mastopexy. Fat grafting is also indicated for patients who want an augmentation without implants.

Depending on the size of your implants you may expect additional sagginess upon return to your original breast size. Your surgeon following examination will have the best estimate of what you can expect.