Without photos and measurements, it is hard to give specific advice. Even with all that, the advice based upon an in person evaluation will carry much more validity.
I would suggest finding a surgeon with whom you are comfortable, and review all options--
- silicone vs. saline
- above or below the muscle
As a rule, saline implants are likely to have palpable and sometimes visible ripples when they are placed above the muscle in patients without a lot be native breast tissue covering the implants, so chances are if you choose saline, submuscular position will be recommended.
When you are ready for an in person consultation, RealSelf has listings of surgeons in your area. You should consider cross referencing the listings from the The American Society of Plastic Surgeons (plasticsurgery dot org). A listing in the ASPS website assures you that your surgeon is not only board certified, but also is a member in good standing of the major plastic surgery organization in the U. S. Thank you for your question, best wishes.