Weight Loss After Explant? (photo)

No one can truly predict this as each soft tissue envelope will respond differently, but you may do well with just removal. Weight loss will likely cause further deflation.Find a plastic surgeon with ELITE credentials who performs hundreds of breast implant removals, breast augmentation revisions, and breast augmentations 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

Your scenario is a very common one. It is normal to experience breast size changes with age for many reasons including weight fluctuation or hormones. It sounds like you definitely do not need your implant any longer. I would advise implant removal; simultaneous breast lift can be performed to tighten up the breast tissues so that your breast is perky and youthful looking after implant removal. Many women weight fluctuate by 10-15 lbs. These relatively small weight fluctuations in my experience do not significantly change the results. However, if you tend to notice breast size changes with your weight fluctuations, and you loose a significant amount of weight after your surgery (lets say 20 lbs or more), there is always a chance of a size decrease or even some mild sagging. You never know what the future may bring. It is normal to have breast appearance changes from aging, gravity, weight fluctuation, pregnancy, hormones, etc, whether or not surgery is performed. It would be helpful to know your current implant size, and a physical exam would be the best way to give you more specific advice. But based on the information you have provided, you sound like a great candidate for implant removal with simultaneous breast lift if desired, and I would expect good longevity associated with the procedure. 

If you have  explantation it is very difficult to predict how the breasts will respond in terms of final shape. With weight loss in addition it will more than likely deflate the breasts even more.