You shouild wait till after your pregnancy to have any capsulectomy performed. You may be able to breast feed anyway with a capsulectomy and your hormonal changes may affect the capsule also.
I have specialized in XL breast implants for many years. You definitely can have them reduced but you may need some sort of uplift at same time to remove the excess skin. I woiuld suggest you visit my website specifically for XL patients below.I am available for FACETIME/SKYPE/Whatsup video c...
I would recommend calling your plastic surgeon as soon as possible. Unfortunately, the implant will need to be removed and the wound closed. Once healing is complete, you can have the implant replaced. Best of luck.
Ziyad Hammoudeh, MD