How will I achieve this look after explant? (Photos)

Hi!
Everyone has a different response to removing implants. A lot of what you can expect depends on what the quality of the breast tissue is, how thick and elastic the skin is, and what size implant was placed. If the skin has little elasticity (which is the amount it springs back, not the amount it stretches when pulled),  it may sag after explantation. If the breast tissue is thin, underwent changes through weight variations or pregnancy, or was flattened by a large implant over a long period time, it may actually end up thinner than it was before the original augmentation. A large implant can also put pressure on the chest wall, and this can actually change the shape of the ribs, leading to a flatter chest form under the breast. In those cases, removing the implant can also lead to a flatter contour.
The first important question to ask is: Why do you want to remove the implant? For patients who are having issues because of implant size, then downsizing can be an alternative to pure explantation. For patients who are having issues with implants placed under the muscle, a change in plane can sometimes solve those problems. In many instances, doing both can be helpful, and can surprisingly lead to a completely different implant experience. 
Speak with an appropriately credentialed and experienced surgeon and assess all of your options against your current concerns. As a team, you should be able to make a decision about how to move forward, while understanding what to expect, as well as what cannot be predicted.
Good luck!

Hello and thank you for your question and sharing your photo. Generally speaking, after removal of breast implants, breasts will look smaller and deflated. Patients with good skin elasticity have a better chance for skin contraction and breasts returning back to what they looked like prior to their augmentation. Implant size and the amount of time since implant placement are other key factors that determine how your breasts will look like after implant removal. Generally speaking, your options include removal and observation, or removal and fat transfer for a natural volume enhancement. You should discuss all these options with your surgeon. If you are unsure, you can just have the implants removed and decide what you would like to do after a period of observation. I would seek consultation with a board-certified plastic surgeon for a full evaluation and advice.
Best wishes and good luck,

Pejman Aflaki, M.D.

Johns Hopkins-trained double board-certified plastic surgeon

Placing breast implants stretches the skin. Unless you've gained weight, it is unlikely that your breast volume has increased. If you remove your implants, you will likely have a size close to what you were pre-operatively, with somewhat looser skin.In order to achieve the volume you are looking for, you can have smaller implants placed. If you do not want smaller implants, you can have them removed, heal for about 6 months, then re-assess. Another option for small volume augmentations would be to perform fat grafting (liposuction fat from other parts of the body and inject into the breasts).Hope this helps.All the best, Dr. B