I have silicone implants with rupture. I want them removed en bloc, without replacement. No lift. Met with a doc, have concerns

If your surgeon is not able to remove all free silicone via en bloc then he/she will attempt to remove as much remaining free silicone as possible.  The use of drains is done by surgeon preference.  If you are uncomfortable with what the surgeon has described to you, you may wish to seek a second opinion from another board certified plastic surgeon.  You want to be comfortable and confident as you go into surgery.

Recent studies have
shown that patients that undergo explantation alone without a lift are
dissatisfied and require a lift later.  Removal
en bloc is possible but tears during the removal frequently occur with
retropectoral implants.  Best Wishes,Gary Horndeski, M.D.