should I try moderate profile instead of what I have chosen so far... 415 cc high profile round textured silicone? (photos)

While the discussion of different profiles and implants is lengthy and important. It is extremely important to discuss these issues with your plastic surgeon during consultation. There are too many variables to account for over the internet without an exam. I do have one thought for you to consider as you go through this process- shaped implant. Based on your desire above "I DO NOT like when implants look too high..." a really good choice for a natural appearance is a shaped implant. Not everyone is a good candidate for this thought and only your examining plastic surgeon can help you decide what is appropriate for you.Best of luck!!‘This answer has been
solicited without seeing this patient and cannot be held as true medical
advice, but only opinion. Seek in-person treatment with a trained medical
professional for appropriate care.’

Your description of what you want and don't want is somewhat contradictory.  It sounds like you need to have an additional appointment with your surgeon to discuss the implications of implant size,more existing breast shape and profile on your Postop appearance.

This is a subtle point in implant decision making - a high profile implant will give you more volume on a smaller implant foot print. The HP implant will also give you more projection. We size our patients using the dimensions of their existing breast as a guideline for implant volume and profile selection. Its not an arbitrary decision.

From the information you have provided, you may want to look at a narrow, anatomically shaped implant.The classic profile Sientra implant has a desirable shape and is softer in my opinion than other options.

The best cosmetic result in any
particular breast augmentation patient depends on a variety of factors,
including: your individual anatomy, realistic expectations, a thorough
discussion with the plastic surgeon about the options, and an understanding of
the pros and cons of any particular implant choice. Proper sizing is not just
about the number of cc’s. The thickness of your tissue, breast dimensions which
include the width, height, and projection, as well as chest wall width all need
to be considered when choosing an implant. Trying on implant “sizers” of
various shapes and volumes while wearing a tight t-shirt, bra, or bathing suit
at a preoperative visit will help you and your surgeon choose the optimal
implant.

Keep in mind that following the
advice from a surgeon on this or any other website who proposes to tell you
what to do without examining you, physically feeling the tissue, assessing your
desired outcome, taking a full medical history, and discussing the pros and cons
of each operative procedure would not be in your best interest. I would suggest
that your plastic surgeon be certified by the American Board of Plastic Surgery
and ideally a member of the American Society for Aesthetic Plastic Surgery
(ASAPS) that you trust and are comfortable with. You should discuss your
concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California

The answer totally depends on the resulting look you want. Show post of photos af looks you like to your surgeon and let the doctor give you guidance in what profile it will take to reach your goal. 

We generally choose the implant profile based on the width of the breast (or desired width of the breast in patients with narrow-based constricted breasts that we are trying to "widen"). If a patient chooses a particular volume (by trying sizers on in a bra), then we see what diameter implant of that size best fits the width of the patient's breast and chest wall. For most patients, larger implant sizes above, say, 400cc, may require a high profile (ie: narrower) implant in order to fit properly in the breast without being too wide. Patients with wider breasts and chest may it a moderate profile implant at that volume. "High profile" does not mean high on the chest, it means slightly more projecting in order to fit the same volume into a slightly narrower base width. Needless to say, careful measurements during an examination would help determine the correct profile implant for you given your anatomy.