Why do so many breasts end up looking deformed after explants?

Different patients react differently to explant and capsule removal. Capsulectomy is really only indicated for a capsular contracture.  If you have a capsule contracture there is no reason to have your capsules removed. Just have implants removed. Allow three months for the breast to settle and reevaluate your shape and size.

The breast implant acts as a tissue expander for the breast tissue. The longer it is in the more effect that it has on the tissue. Somewhat, like breast feeding after having a baby.  Also, over time if you gain weight you may have more breast volume or maybe not.  You really do not know how the will look on taking them out. I goes back to your natural state.  The capsule needs to at least be scored so that it scars down and the pocket closes. Good luck

      This will depend upon the amount of breast tissue, the need for capsulectomy, the quality of the remaining tissue, and the judgment and skill of the surgeon.Kenneth Hughes, MDLos Angeles, CA

Most women who decide to have their implants removed end up poking the same as they did before having implants placed to begin with.  Capsulectomy is only need if you have thick calcified capsule and that can usually be determined at the time of exam.  

Because the weight and dimensions of an implant in the breast cause changes due to stretching of the skin envelope and other factors, in many cases removing the implants will not leave breasts that look like they did before. This is more true after capsulectomy for contracture. For those reasons many patients need a lift or other procedures in order to have a nice shape after explantation.