38yo 2 kids 350cc breast augmentation and labiaplasty at the same time

I have been on this site for several years doing research and figuring out what I'm going to do. And like many here, I want to pay it forward... so here is my journey.
I have been wanting a boob job since high school and I always promised myself after I was done with kids I'll get one. Well 2 beautiful breastfed kids later (at 38 years old) I'm finally ready to embark on this journey.
I've decided to do a breast augmentation and labiaplasty all the same time since I'll be asleep I figured they can just do it all at once. Breasts are a deflated 34A maybe AA... I wear ill fitted bras (and with Covid I gave up on bras all together!)
My labia isn't terrible but it has always bothered me a bit so I want it cleaned up.

Similar to many of you here, I decided to write a review to "pay it forward" as I have read hundreds of reviews from other women here.

My procedures are planned for 4/1 - in two weeks' time! And truth be told I am freaking out, my appointments with my doctor have been very unsettling. His approach has been to shove an arbitrary size of an implant down a leotard he provides and asks me to pick the projection. Ive been consistently picking between low sientra and mod+ mentor. However the size of the implant meaningfully changes my outlook of size. On our "final" sizing he wrote mod+ 300-400 and basically plans to pick a size while operating based on my breast pocket. This approaching is daunting to me as it provide a huge range that I am not ok with. So now Im in a conundrum ....

Well I came back to resize and still left with deciding on mod plus but not the size of the implant….I brought my bf along to keep me sane - which helped as we discussed pros and cons.
Surgery is in 2 days ….