Pros and cons of different implants?

I have saline, because I was worried about silent implant rupture with silicone. I don't like my implants - they feel like a bag of water, which is what they are. Still, I don't know if I'd choose silicone. To be honest, I feel like I wasn't explained the no reconstruction option enough, my docs all assumed I'd have a reconstruction (perhaps due to age - I was 40).

I'm also pretty lean, not much stomach fat, which I think would work well for me going flat. My thought is to keep my implants until there is a problem with them, then take them out.

I have Natrelle Inspira Soft Touch. According to their website: Gummy describes the consistency of the silicone gel in Natrelle INSPIRA® Breast Implants. This gummy-like gel sticks together and has the tendency to hold its shape. Each implant in our collection has a different level of cohesivity, or what surgeons may refer to as gumminess.

There may be some confusion between “gummy" and “gel" in terms of silicone implants. In my experience gummy refers to textured teardrop anatomical implants, as per the initial trials for this product when the term “gummy bear" implants was coined. These are Allergan 410's - the most highly cohesive implant, which have since been recalled due to the lymphoma risk. The implants on the shelf have been recalled so nobody should have the option to use them for breast reconstruction at this time. Most other silicone implants, whether textured or smooth, use cohesive gel, which means the gel stays intact if the implant ruptured. Textured silicone implants made of cohesive gel that are round have also been recalled, so only smooth cohesive gel implants should be available for reconstruction right now. Saline implants are not used as often, from what I have gathered over the time I have been on this site, but I do have a friend who needed implants larger than 800ccs to balance her frame. Our shared plastic surgeon used saline implants overfilled to 960ccs for this purpose for her, which worked well. It is important to note that while saline implants will more obviously show rupture, if you are attempting to avoid silicone for any particular reason, the outer shell of saline implants is made of silicone.

OCDAmy - the Allergan Natrelle Inspiras come in three different levels of gummy-ness. The Inspira Cohesive has the same level of firmness as the 410’s, the Inspira Soft Touch less cohesive, and the Inspira Responsive the softest. I think Allergan uses the term “gummy” because they also make the 410 and ran the initial trial, but i think it can confuse those who are new. Allergan Natrelle also makes regular cohesive gel smooth rounds besides the Inspiras.Mentor’s memory gel smooth rounds are comparable.

I'm getting the Allergan Inspira rounds. My PS let me feel those in different cohesion levels in the two that are used for reconstruction: cohesive and soft touch.

He said we'd be doing the most cohesive because I don't have enough fat and the less cohesive ones ripple when not covered by fat. He also demonstrated and I totally saw and understood what he was saying. I was bummed because I wanted the soft touch, but not at the expense of those ripples!!