5'8, 120lbs, stuck between mod/mod+ & high profile due to BWD & surgeon's recommendations (Photos)

Hello and thank you for your question. Honestly, a formal in-person evaluation would be needed to determine the best treatment. There are several reasons for this:
1) Bra sizes vary based on the clothing store (for example, Victoria's Secret tends to upsize everyone by a whole cup size)
2) Most women do not wear the proper exact fitting bra size for their bodies
3) The exact volume (in cc) needed to change cup size is different for different body types (e.g. 32A to 32D requires a different implant size than 38A to 38D)
4) Be careful NOT to fall into the trap most women do- they see a certain implant size (e.g. 285 cc) or perhaps their friend had a certain size, and they want or request this or another size based on that. Everyone's body is different- 285 cc implants on your friend might look VERY different than they would on you. Be very careful not to make this mistake, because the goal is to find the right size and shape for YOU- for your particular body and your breasts.

Because of those multiple factors, and because it is KEY to fully evaluate your breasts in person to make a full set of precise measurements to select the proper implant for you (incorporating factors like amount of breast tissue, implant type, base width, projection, etc), answering your question really would need a formal personalized consultation- to say anything before that would simply be guessing, which would be both unfair and unhelpful to you.

Your breasts are such a KEY area of your body and your femininity- therefore, you should ONLY trust an experienced aesthetic plastic surgeon. As such an expert, I have had extensive training and experience with complex aesthetic surgeries under a multiple world-renowned experts in the field. I’d recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with aesthetic plastic surgery procedures) for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

The profile that works best is based on your measurements, your base, and the volume or size you want. going up in volume will need an implant with a smaller base, higher profile, to fit your base best.
First, determine what size you want, and your surgeon can then pick the proper profile.

Selecting an implant as one of the most important parts of breast augmentation. The importance of using your tissue based measurements cannot be highlighted enough. This is much like sizing a shoe, you have to buy the correct sized shoe in length/width/depth to prevent potential injury to the foot. Much like buying a shoe, selecting breast implants is critically dependent upon your breast measurements (breast base width, nipple to fold max stretch); this is utilized in combination with 3D breast simulation (Vectra, Crisalix, etc) to help the patient understand the outcome. High profile implants are NOT ideal for breast augmentation; they were created for breast reconstruction. I always recommend using a moderate profile implant in general to limit a "bowling ball stuck on look". You need to see a plastic surgeon with actual plastic surgery training (6 years of residency in plastic surgery, ideally followed by an aesthetic fellowship accredited by The Aesthetic Society).