Thank you for the question. Breast implant removal recovery surgery is usually almost painless and associated with a faster return to activities compared to the original breast augmentation procedure. The procedure can be done under local or general anesthesia depending on the circumstances of the specific patient. Your plastic surgeon will be your best resource when it comes to more specific thoughts, mainly depending on exactly what procedure is performed. Generally speaking what breasts look like after explantation depends on several factors such as: the quality of skin elasticity (the better the elasticity the better the skin will bounce back), the size of the implants used (the larger the implant the more trouble you may have with redundant skin), and the amount of breast tissue present at this time (which may have changed since the time of your breast augmentation). Life experience since your breast augmentation procedure, such as pregnancy or weight gain weight loss, will potentially influence the factors discussed above. If you take these factors into consideration and apply them to your specific circumstances you may get a good idea of what to expect after the implants are removed. I would suggest that you select your plastic surgeon carefully; it is likely, that working together you will come up with the best plan of action. You may find the attached link, dedicated to breast implant removal surgery concerns, helpful to you as you learn more. Best wishes for an outcome that you will be pleased with long-term.