Many women will decide not to replace implants. Your appearance after surgery will depend significantly on how much of your current breast volume is tissue vs. implant. Your cup size generally will be similar to your cup size before implants were placed. However, women who had had several pregnancies may have less OR more breast tissue than at the time of augmentation. Women who are near or through menopause may have experienced volume changes in breast, more commonly larger than smaller. Patients who have had gradual weight gain may as well have more native breast volume. And removal of implants placed above vs. below the muscle can impact the shape after surgery. All of these factors will be discussed during your consultation so that you can have a reasonable idea of possible outcomes before your breast implant removal surgery.