300 HP or 350 UHP? I’m 5’7 and 116lbs. (photo)

Choosing an implant size/style is an important decision which is best made in concert with your surgeon. Ultimately, options are based on a number of factors including:
-Chest dimensions: This point is crucial as the width of your breasts defines the available "real estate" on which the foundation of your augmentation is built. This "foot print" is the absolute limit with which you are dealing. Too "large" is not so much the risk as too "wide." You cannot build a 3 acre mansion on a half acre plot. An implant which is too wide (exceeding the available space on your chest) will generally over hang laterally making it more noticeable and occasionally contributing to discomfort and nerve symptoms (numbness or tingling). This will also contribute to a more unnatural look.
-Tissue quality: This relates to size in the sense that the implant will be suspended by your tissue. Too large an implant may place took large a stress on these suspending tissues leading to healing problems in the short term and bottoming out in the long term.
-Patient desire (what is the look you are hoping to achieve?)
My role as a surgeon is to manage expectations and guide you towards a prudent choice which can satisfy these reasonable goals. Often times, a surgeon can guide a patient toward a size/cc range and patients will make determinations on implant style/profile. Patient seeking more or less projection, or seeking a more pronounced or subtle upper pole volume increase can be guided toward an implant which will help them best achieve their goals. Additionally, technique variations (sub muscular vs. sub glandular) can also aid in obtaining the look you desire.
There are a number of tools available to help guide patient/surgeon decision making including sizers, 3D imaging and goal photos. Each modality can help better communicate your goals to your surgeon and vice versa.
With regards to your specific question, the higher the profile the less "natural" the result. This is an opinion based rule of thumb. However, when considering that higher profiles deliver greater volume on a smaller frame, it is counterintuitive to suggest that a smaller framed individual would "naturally" be very large.
Ultimately, it is important to not marry oneself to a particular "cc" as oppose to a particular "look." Communication is key as you and your surgeon create your custom surgical plan.
As always, discuss your concerns with a board certified plastic surgeon.

Dear Surraya1,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

You can do 3D breast implant imaging and see exactly what these implants will look like on you. The technology allows you to control for both volume and projection.

Thank you for your question and the photos. You look to have a very nice shape and good symmetry. I don't every use a UHP in a cosmetic augmetnation (non breast cancer reconstruction). They simply look way too round. The Sientra HSC+ moderate profile is what I use in someone like you. If you are choosing HP vs UHP, I would definitely go HP. Hope this helps. Best of Luck!

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon' s experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Implant selection is best done in person with your expert board certified plastic surgeon. She/He has had the opportunity to discuss your surgical goals with you as well as examine you and take measurements. I encourage you to return to the office to discuss your concerns. Many surgeons have sample implants available that you can "try on" to help you get an idea of how you may look after surgery.

Consider going with325 cc's and high profile for a choice in between the two you are considering. Ask to try on both.

Each plastic surgeon will have their own method for determining implant, shape, and size. If your provider is leaving the choice to you, then you’re the one who needs to make the decision.
My personal method is to review desired results by looking at numerous before, and after pictures of patients who have similar breast characteristic in the before pictures.
Once I have a good understanding of what patients are trying to achieve, I bring those pictures with me in the operating room. During surgery I use temporary Sizers until I get an outcome that is consistent with what the patient had requested. I usually have a large number of implants available to choose from during surgery to get an outcome is consistent with what was discussed during the consultation.
If you have questions about implant selection than I suggest you communicate further with your provider.
Best,
Mats Hagstrom MD