Breast Implant Removal and Lift - Should I Lose Weight First?

50 pounds is a lot of weight and your breasts may sag more.  Therefore, I would wait until all of the weight is lost before pursuing cosmetic breast surgery.

Good day! Generally after explantation, the shape and size of the breast will be unpredictable. Result varies between patients and it will largely depend upon their age, duration and size of the implant, or previous state of their breasts like existing anatomy, deformity, previous surgeries, underlying personal and family medical conditions, nicotine use, pregnancy and other factors. It is suggested to give your skin and muscles ample time to heal, recover and retract after explantation before undergoing another procedure. Improved appearance can be achieved through natural breast augmentation or mastopexy. Do not hesitate to contact your surgeon about this and discuss realistic goals and expectations. Best of luck! #RealSelf100

Yes you should definitely lose weight 1st before having the procedure. This course of action will maximize the chances of optimal results and minimize  the chances that further surgery may be necessary. I think the procedures, with some exceptions, can be done safely in one stage.

What your breasts will 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.


Please make sure you're working with a well experienced board-certified plastic surgeon.

Best wishes.