I have 20 year old implants and one is now problematic for which I am under investigation. Inevitably they will need removal. My dilemma is whether of not to have them replaced. My sensible head tells me to not but I am very concerned as to how the resulting lack of breast and saggy skin will affect my mental health. I have lived with an eating disorder since my teens ( am now 64 ) and subsequently have a lot of issues around body image. My sensible head tells me not to have a replacement and potentially problems again in the future. Is there anyone else out there that has had this dilemma. Thanks.