Moderate or high profile for my desired look?

Hi.. thank you for the question and photos... In my practice, very large implants have cause expansion of the NAC and ptosis in short time. In my opinion you can achieve your desire look with 450/500cc High Profile under muscle.  

Hello,There is a reason your doctor felt there is a limit to the size he would use: it's because your breast tissue is unlikely able to accommodate larger implants reliably and may lead to complications requiring reoperation. Breast augmentation is not always about getting whatever size you desire. Sometimes what you want is not physically possible. You should go visit a few other reputable surgeons to confirm this. Best of luck.

Thank you for the question and pictures. Based on your photographs, I think that you are starting at a good place should have a nice outcome with breast augmentation surgery. Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, and computer imaging) will be critical. You may wish to meet with your plastic surgeon, preferably prior to the date of surgery, to communicate questions/concerns/goals again. Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:

1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals.
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of words such as “natural” or "C or D cup” etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.
I hope this (and the attached link, dedicated to breast augmentation surgery concerns) helps. Best wishes for an outcome that you will be very pleased with.