Should I get silicone gel, high or moderate plus and what size? I want to be a D.

Hello and thank you for your question. You are a great candidate
for a breast augmentation.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.  This entire surgery
can be performed with a small incision technique.  Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results.   The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Patient satisfaction regarding implant choice is very high when done appropriately.  I encourage patients to spend necessary time with their ABPS board certified plastic surgeon and patient care team.  Try on different sizers in the mirror and pick a size.  Bring a significant other, friends or family - if you value their opinions.  Based off chest wall measurements and desired size an implant is selected.  Dont rush! Good luck.