Should I be concerned with hole/foul smelling discharge on R breast after having textured Sientra gel implants removed. (photos)

You would of course need to be seen in person for an appropriate assessment. But, in general, have some drainage at this point is not in and of itself a major concern...but it could be if it does not heal on its own and/or if you have systemic problems (fever, chills, sweats, etc).  If it is an ongoing process then you may, in fact, need to have a procedure that removes the capsule itself.  That, however, is not a minor procedure and I would not advise that you rush into it.  But if the drainage continues and does not abate on its own, then surgical intervention may be indicated. If you have hesitations, you can seek additional opinions.I hope that this helps and good luck,Dr. Alan EnglerMember of #RealSelf500

This is most likely a problem.  It is important to have the entire capsule out as well as drains for about a week in order to heal properly.