Breast reconstruction revision - should I switch to over muscle implants?

57 year old, had DM w/reconstruction UTM implants. Due to severe animation and pains on one side I decided to go for revision surgery. The Surgeon that I met suggested to move the implants OTM. He inform me that he doesn't like to use Mesh/ADM unless it's a Must, and my skin/old scar tissue would hold the implants. I'm worried that my breasts with the heavy implants will sag, rippling would be very noticeable, implants would be visible. I would love to hear other opinions.