You have obviously spent a lot of time analyzing this. Please recall that you started out with tubular breasts, the hardest starting point for breast augmentation and one which will never allow the "perfect" result. Plus, multiple surgeries will also not ever be as good as one that went really well.
That being said, I would suggest you consider the Mentor moderate profile gel implant family of the same width as your current implant if you want to maintain the same proximity of the result to the midline. The moderate plus family also looks much more "real" than the high profile style but is still not truly natural. The key is to keep the same base diameter you have if you want to prevent your next set of implants from looking too far apart again. The lift will restore the proper position and elevation of the nipple and can tighten up loose skin depending on what kind of lift is done.
As always, don't get hung up on bra cup sizes, just worry about the "look" you want and the bra size takes care of itself.
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