Debating exchange to gummies...Help!

 I switched. Originally, I chose a smooth round 339cc Allergan Naturelle 15 for my Left skin & nipple sparing mastectomy. Nothing done to the right side. No anatomicals were available outside a clinical trial at the time so not an option. In my case, the shape of the implant was so different than the natural side that it never looked right. Just too round, too much upper pole, too flat and noticeably different under workout tops unless I put a push-up pad in the 'good' side. Even with fat grafting you could see the top edge of the implant so depending on how low cut the top was, it was a problem. Also, the rippling and distortion was a huge factor that you could see in my spaghetti strap work out tops. I favor halter top bikinis and the roundness on the one side was noticeable. And kind of fake looking. Naked - definitely a huge difference. There would be no fooling anyone in a locker room. And I hated it.

Revision surgery: Switched to a cohesive implant - 330cc Sientra moderate profile. Definitely more symmetrical, even naked. Both BS and MO commented on improved result when they examined me. Better contour, closer to my natural shape but projects a bit more than natural breast due to a bit of ptosis so naked it's not a 100% perfect match. In a bra, perfect. it slopes so no edge and more natural upper pole fullness at the top of the implant. Almost no rippling, and I would have to wear a very low cut workout top or bathing suit to see any of the much lessened distortion. But it's a definitely a firmer implant. I feel it more working out which I'm definitely not as crazy about.

Even if I had a BMX, I would still choose the anatomical implant. My PS likes the Sientra because they are softer than the 410s. He said has removed the 410s because of the firmness issue. The smooth round implant looked unnatural on me and rippled far too much. Even if I had a BMX, the rounds just would've looked fake on me

I have 410s - I had BMX direct to implants on 3/19.  Since I have no experience with the rounds, I can't make a comparison, but I really like them.  I didn't know what to think of them at first, but they really have a nice shape now and the projection is actually better than I thought it would be.  Tomorrow will be 11 weeks and I've seen some changes even in the past couple weeks and they've softened up quite a bit.  They don't seem too firm to me because I had such dense, lumpy breasts before that the implants feel pretty good and are comfortable.  I really wish I'd taken weekly pictures for comparison purposes.  I have a lot more upper pole fullness than I ever did with my real breasts and the implants are larger, which is what I wanted.  Some people have asked me if I went a little smaller, but that's only because I no longer need to wear a padded bra like I did for the last 30 years.  lol  I'm glad my PS suggested the 410s; I'm happy with them.

I went bra shopping the day before I went back to work and it was less than 4 weeks after surgery.  I found one that fit kind of OK and bought it in 2 colors.  I wore it the first day and I felt like it was cutting me I'm half.  And I only worked 4 hours that day!  I couldn't wait to get it off and I haven't even tried it on since.  It's very soft so it was just me, not the bra.  All I wear now are Genie bras during the day and sports bras to bed.  I'm going to wait two or three more months before I attempt this whole bra thing and will go somewhere to be fitted. Last weekend I went braless both days (first time for an extended period) and loved it.  So I will likely only wear one when I have to.  I'm still more comfortable wearing a sports bra when I sleep though.