I am 51 years old and had under the muscle saline implants (which essentially brought me just back to pre breastfeeding size), 13.5 years ago. Would like to have them replaced with silicone…smaller. The saline implants never really dropped and my areola is basically “dropping” off my breast and I feel they are too “round” or full on top. One surgeon recommended under the muscle again and to cut my pocket lower so the breast would settle lower. The second surgeon was adamant about putting them over the muscle…period. Any suggestions?