I did a lot of research and finally landed on a doctor that made me feel comfortable. After a few consults, we went with silicone, under the muscle, moderate profile. I emphasized that natural looking was my number 1 goal. We ended up with 425 cc. I was a small 36B before.
I am only three days post op, and while I am still dealing with swelling and the shock of having boobies :), I am happy with the size.