I’ve got a big head but small ear canals so I’ve avoided IEMs most of my life. I know the Etymotic are good for this but have an unusual wear style / orientation, so looking to see what else is out there for consideration.
I don’t think deep placement will bother me as I found the Final Audio to fit confortably but sat a bit too shallow and were falling out too easily. don’t tell anyone, but I’m old school and still gasp use q-tips in my ears!
In my experience noise isolation is more about the eartips than the iems themselves. Certainly if the Iem stem is too short it will make the sealing more difficult, other than that eartip rolling is what gets you the isolation. Now here comes the trouble, everybody has a unique ear and earcanal shape and what works for me might not work for you. Trying many different tips is a bit of a hassle, fit, comfort, seal without distorting the sound is not easy IMO.
I have had issues for a while getting comfortable IEMs. Recently picked up the Guideray GRi-58 and it’s been great. I had to roll the tips around on it with some that I already had, but it might be worth a look for the comfort. Sound is good if you like a slightly warm signature