Low profile, can hear clearly, work as designed.
These are very small, which can be a challenge to get in and out of the ear, but definitely low profile and comfortable.  They don't remove as much noise as I would like, but definitely work as stated.  You can definitely hear clearly with these in.  After wearing for an hour, I realized that they are actually removing sound once I removed them.  They definitely reduce the volume.  It may be better if the little hearing holes in the center were a little smaller and let in a little less sound, but they are for people who want to be able to hear clearly, and I can definitely understand conversations, music, the television, etc.  So they do function as designed.  I like the low profile once I figured out how to get them in my ear.  It was easier when pulling the top of my ear up and out a little while inserting.  They key chain case is nice and stylish.  They look exactly like in the picture.  I will probably order a different pair with more volume reduction (ones without a hearing tube) for things like shooting guns.  These are perfect for watching loud TV with a hard-of-hearing person in the room (which is exactly what I needed them for).
Rating: 4 stars