Which would you recommend; 500CC silicone smooth round moderate vs high profile?

The width of the implant should match the width of your breasts.  You should look with the plastic surgeon at the chart to compare the dimensions of the implant to the dimensions of your breasts and choose the implant that will give you the best personalized look.

Hello evethr. There's no way to make a diagnosis online and to give you a recommendation for surgery, size or type of breast implant without an examination. So this is just a guess. I prefer moderate + for those who want a more natural result and HP for more upper pole and a more fake result.  Always see a surgeon certified by the American Board of Plastic Surgery. Best,Dr. ALDO

Hi.. thank you for the question... this will all depends on the measurements of your breast...  The base of the implants.. And your remain breast tissue. Talk with your PS before surgery about it.

I would recommend a textured device because it will have less likelihood of sagging and dropping over time. 

Breast implant selection is best done in the setting of a formal consultation with a board certified plastic surgeon.

Choose your surgeon carefully; this is the most important decision you will make in regards to your breast augmentation. All members of the American Society for Aesthetic Plastic Surgery are board certified in plastic surgery with experience in cosmetic surgery. surgery.org will give you a list of such surgeons in your area.

Come to your consultation prepared to discuss your aesthetic goals - bust fullness, figure balance and breast shape. Bringing photos to illustrate your point can be helpful. After an examination your surgeon will be able to discuss and recommend particular implants that will best achieve your aesthetic goals. Some surgeons will use various tools to help patients choose their implants. Implant sizing, 2D photography, 3D photography and photo gallery review are a few. Ultimately I believe the patient should make the final decision with regards to the implant. I believe the surgeon's role is to offer advice; I do not think the surgeon's role is to dictate which implants patients choose.

There are numerous options for breast implants in this day and age.  The choice of the best implant is done on a case-by-case basis and what works best for you may be completely different for your sister, friend, etc.  Implant choice primarily depends on your post-operative goals and body shape, breast width, native volume, asymmetries, etc.  The main difference between a moderate and high profile of the same volume is the width and projection of the implant.  A moderate profile implant tends to be a little wider and flatter (less projection) than a comparable high profile implant of the same volume (which tends to be more narrow and taller).  You would need an in-person examination, measurements, and discussion of goals to really determine the best implant for you! Make sure that you consult with board-certified plastic surgeons that take the time to discuss your goals, examine you, and talk about sizing for best recommendations. I typically use a 3-D imaging system and ask patients to bring in post-operative "goal" photos of women with their same body habitus to also help in surgical planning and implant choice. Good luck!

No posted photos so impossible to respond. Just be sure you are using a boarded Plastic Surgeon in private practice and NOT working as a hired gun at some "clinica"...

Thank you for the question.  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. Given that your surgery is coming up soon, I would suggest that you schedule additional time to spend with your plastic surgeon communicating your goals, preferably prior to the date of surgery.  
Generally speaking, the best online advice I can give to ladies who are considering breast augmentation/lifting 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. I have found that the use of words such as “natural” or "C or D cup” or "full up top but not fake" 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.

First off it is much more difficult to control the variables and predict the outcome when doing a breast lift at the same time as breast implants. The volume of the implant, particularly the forward volume (profile) works against the closure of the lift part of the procedure too. Additionally, it is not wise to just choose a number of cc's for the implant and work backwards. A moderate profile implant and a high profile implant of the same width (to fit the internal width of your breast) would have significantly different overall volumes. Aside from the lift effects and issues, a round, smooth surface implant placed below the pectoralis muscle will make you look about one cup size larger for the lowest forward volume/profile and two cup sizes larger for the highest profile with the in-between profile making you look about 1 1/2 cup sizes larger. The effect of the lift alone can make you look larger although it doesn't fill in the upper pole of the breast. A high profile breast implant usually overfills the upper pole and gives the "fake" look.I suspect (but can't be sure without exam or measurements) that a 500cc implant along with a lift will give you a very distorted and fake look and may work against proper healing of the lift. Make sure that the width (diameter) of the implant used is about 1cm less than the width across your breast upright and with arms down.