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I have mine for 18 years. Mine are saline water implants. I do routine mammograms and I really hope I will never need to change them. It was much easier to do it when you was younger, now I am not sure I am up to a surgery again.
Try to keep them as long as you can, but when the time comes."Don't worry" implants replacement is a 20 minute surgery. the hard part is to create the pocket, so in your case it is a matter of pulling the old ones and inserting news ones. :)
But it is still going under the knife with full anesthesia :(
Just local anesthesia :), no pain.
Why then not to do it now while I am still young and have them for another 20 years, and after them I might not even bother...
Also, one doctor was telling me to switch from saline to silicone, since in his opinion it looks more natural.
Yes, cohesive silicone is your best option. they feel more natural and don't loose volume over time,
Isn't it more dangerous in case it leaks out? I was told I would have to do an expensive scan every year to make sure ther is no leakage.
Lana, this link will be of great help. It will answer many of the questions you have. Let me know if it works http://www.cohesiveimplants.com/types/