If I Remove my Implants, Will I Have Extra Loose Saggy Skin?

     This can be difficult to predict even with an exam.   However, the implants can always be removed and a 3 to 6 month wait period observed to determine if any other procedure is necessary.  Find a plastic surgeon with ELITE credentials who performs hundreds of breast augmentation revisions and breast lifts each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

The breast appearance after explantation can vary from normal with expected mild sagging, to loose, wrinkled skin with contour depressions. The final appearance depends on your age, your skin tone, how large you went, and how much tissue stretch and sagging you have experienced as a result of aging, gravity, and potential pregnancy or weight fluctuations (which you have not had). So based on your history and your young age,  you may fair pretty well. Expect the normal deflationary/sagging effect to occur, although things tend to improve over several months after explantation with bra support to hold the breasts up as they heal. Without a physical exam it is hard to tell for sure, but you can always do a skin-tightening procedure or breast lift in the future if things don't shape up as you hope. Sometimes I am surprised at how good the breasts look after removal in certain candidates like yourself.

The amount of loose, saggy skin from breast implant removal is difficult to determine without an in-office consultation with a board-certified plastic surgeon.  Sometimes patients undergoing breast revision surgery choose to have their implants removed and replaced with smaller implants to be more proportionate with their overall physique. A breast lift may be performed in conjunction with breast implant removal to return the breast to a higher, more aesthetically appealing position.  It’s best to first seek an in-person cosmetic consultation to gauge if additional procedures will be required to remedy the excess skin you’re referencing.

In instances like this it is often more beneficial to proceed slowly if possible.  There are some revisional cases in which it is very straightforward to complete everything in one stage, yet there are some in which you wind up with better results in the end if you can afford to stage things.  It will be next to impossible to predict accurately prior to the surgery what your breasts will look like after simple explantation, or removal of your breast implants.  On the good side, you are a young girl, and if you have not had any babies, that is even better.  On the not so good side are the facts that you have had relatively large implants in for several years, and it sounds like you have developed some permanent skin and breast tissue changes, i.e., "wrinkly skin" and stretch marks.  Thus, it is possible that after removing your implants your breasts may contract back to a reasonable size and shape that you would be satisfied with, yet it is also very likely that they will not.  How much they will contract and shrink back is the question, and that in turn will determine what, if anything, you will need to have done in order to meet your goals.  Usually in cases like this a young lady can expect to undergo some type of lifting procedure in addition to replacement of her breast implants to a smaller size in order to get rid of looseness and sagging of her breasts.  If you can afford the time, and potential slight increase in expense, to stage your procedures into more than one procedure, it is quite possible that you will either not need a lifting procedure once the breasts have been allowed to fully stabilize, or if you do it may not be as extensive as the one that you might need if you were to proceed right away in one stage.  This is especially important in young girls who may wish to breast feed in the future, as any lifting procedure may disrupt the ability of the breast to produce milk.  I always try to do everything I can to avoid doing breast lifts in young girls if possible.  If it's not possible, then it's not, but if there is any chance that we can avoid it, then we should.  Thus, following this logic, my best advice, if you can handle it, would be to remove your implants and give your breasts several months, perhaps 4 or 6, to contract and stabilize maximally before revisiting the issue and deciding what if anything you wish to do later.  It is entirely possible that your breasts will still be a bit saggy and you will want something further done, but chances are that you will need less done than you would have if you went ahead in one stage.  The only other option to this staged approach is to have a lifting procedure performed right away at the same time that you are having your current implants replaced; that is just more like shooting at a moving target, and again, because the laxity of the breasts will be maximal at this point, the lifting that will be required to achieve the result will be maximal also.  I'm not saying I never do that; I'm just saying that accuracy and possibly safety are enhanced if you can tolerate a period of time with your breasts looking less than perfect.  I hope that thought process helps.  Good luck.

The difficult question to answer will be whether or not you will be happy with the results of surgery if/when your breast implants are removed;  ultimately, this will be a very personal decision that only you can make after careful consideration.   
My patients who have  had their breast implants removed have considered issues such as how they  may feel feel with clothes on (and off)  as well as their specific/unique psychosocial situation.   Generally speaking patients who are at a “stable” place personally  and psychosocially  do best with breast implant removal ( without replacement).   
 
Also, generally speaking,what breasts look like after removal or down sizing of breast implants will  depend 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 or replaced with smaller implants.
 
I hope this, and the attached link ( describing patient's experiences with removal of breast implants) helps.

Even with an examination, it will be difficult to answer this question. Without even photos, it is impossible.  Those are rather large implants that have been in for quite a while, both of which increase the chances of poor skin recovery. On the plus side is your age. 

Possibilities include switching to smaller implants, and/or waiting to see over 6 months how much recovery there is. If not enough, a breast lift will be the way out.

All the best. 

It is impossible to give you a perfect idea of what you will look like after explantation, however at your age and with implants under the muscle you will probably be surprised at how natural you look after the surgery. But it does not look good right away and will take several weeks until you know for sure.