Implant removal due to capsular contracture after 11 years - what can I expect to be left with? (photos)

Your minimal breast tissue has been stretched with 450 cc implants are well as your skin, so you can expect to be somewhat smaller than what you were originally unless you have gained weight and your breast tissue increased. Also, your skin has been stretched and will sag. Radiofrequency treatments can help tighten your skin.

Since you did not show us a photo of your current breasts, one could guess that you will be left with an empty skin envelope. Although skin will shrink a bit in time, additional procedure like breast lift, to remove and tighten loose skin will be needed. Options for augmentation are few without implants; fat grafting is an option but it will take 2-3 stages to achieve some volume, shape. This is best to be discussed with an experienced plastic surgeon in your area before undegoing implant removal. Good luck.

Obviously, after removing such large implants that have been in place for 11 years, you will have some loose, stretched skin that causes some degree of sagging. However, your relatively young age and good skin elasticity work in your favor. If you end up with too much sagging, then a breast lift would correct that. Your size should return to your preop condition. Interestingly, your early photos and description indicate that you have a variant of tuberous breast syndrome. Since there appears to be a higher incidence of capsule contracture with implants placed in front of the muscle, if you could afford it, you should consider implant replacement behind the muscles.