Should I have my implants removed? They are 27 years old.

After
27 years of implants and 20 lb weight gain, it is not surprising that your
breasts have drooped.  The technique I
recommend is explantation using The Bellesoma Method.  This will reshape your breast tissue creating
upper pole fullness without implants, elevate them higher on the chest wall and
more medial to increase your cleavage. 
Vertical scars are avoided, nipple sensation and the ability to breast
feed are maintained, if not injured during your previous surgery.  The half life of implants is 9.5 years, so
you have done very well with keeping them for 27 years.Best Wishes,Gary Horndeski, M.D.

Dear capuli,as long as there are no issues with your implants, you should not remove them. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery