Are High Profile Breast Implants Always a Bad Choice?

I have been reading a about high profile silicone breast implants and the long term negative affects on tissues.I understand how this could be true if one started out as an A cup and used a 350cc implant. However, if you start out with moderate skin laxity with a B+ cup, are high profile implants going to cause the same long term damage?I am 5’6” and 125 lbs. I currently have 375cc moderate plus silicone. I find they are too wide for my frame. I am considering the high profile and slightly smaller.