Sorry you feel conflicted about your results. Conversion to a lower profile CPG (gummy bear) implant might make you feel less "fake", but I would research all options, exhaustively prior to proceeding. As aesthetic surgery has become more commonplace, everyone seems to be an "expert". Re...
Suspicious fluid collections should be aspirated and sent for CD30 immunohistochemistry. If a positive diagnosis of BIA-ALCL is made, then the removal of the implants and associated capsule should be done.
Implants should be designed to fit your chest wall and certainly the 295cc and 330cc options would seem appropriate. The advantage of anatomicals for you will be that they will fill the lower pole more than round. You could opt for round although you should expect the nipple areolas to be lower ...