Tuberous breasts with implants, wanting explant, what will I need for reconstruction? (Photo)

The smaller the implant and the less the amount of time it has been since placement, the greater the chance the breasts will return to their preoperative state. It is very difficult to predict breast size following explant b/c breast implants and weight fluctuations over time tend to thin tissues, cause a decrease in size, and create more droop.  Lactation should have been completed six months before considering breast surgery.
Usually removing the implants and performing the lift at the same time makes the most sense as some patients clearly need a lift and only want to go through one surgery.  If you are borderline, it is not unreasonable to remove the implants and then observe a waiting period of six months before the determination for breast lift is made. This will give your breasts time to bounce back and your PS time to determine what type of lift, if any, or a breast fat transfer is necessary for you to reach your goals.

I would suggest having all the children you want, then consider removing your implants or going down in size and a lift. Your surgeon can measure you and help show you how much actual breast tissue you have compared to implants to help you choose what size you wish to be.

Thank you for your photos and questions.  You will want to wait until you have finished breastfeeding for 6 months before considering surgery.  A breast lift will likely be advisable after the implants are removed in order to give a nice shape.  Depending on how much natural breast tissue you have, you may want to consider adding a small implant as well.