650cc Breast Implants to Get C or D Cups?

I agree 650cc implants are quite large, too often people think size is everything in breast surgery. However, shape is the most important. Consider a second opionon to discuss other surgical options

Hi, Ali45 in Illinois,
A 650 cc moderate profile implant is a high volume implant with a wide base. Keep in mind that the weight of these implants alone, will lead to changes in your breasts with increased stretching and drooping over the years that you have them and that a second operation at some point in the future is likely. That being said, this implant may fit your frame and look appropriate if you follow the principles mentioned below.
Good communication between the patient and plastic surgeon is the key to choosing the best size implant for each individual. The surgeon should be willing to work on this for while during the consultation. I allow patients to return for a second shorter consult at no charge if they are concerned about their choice of size.
Steps:
1. I look at how large the patient is now, how large she was during pregnancy and breast feeding if applicable, whether she has lost volume and what her goal is for her final cup size.
2. I look at the patients height, frame, weight, waist, shoulders, and chest measurements (especially the base dimension). This helps me understand what range of implants will fit well on this patient and look proportional to her body. Most women want to be larger but proportional.
3. The patient then tries on gel filled implants in a bra and puts on a relatively tight T-shirt to judge how they would look with each size in their range. The also try on high and moderate profile implants. This is a step by step process which takes some time. I ask the patient to say if she feels each size is too big, too small or about right, until we find the one size she likes the best.
Quite often the implant that fits the best by their measurements is the size they naturally like the best. I find women usually know what size looks good on their body and their opinion should be the most important factor in the final decision.
Key points:
1. The final result often looks slightly smaller so often I tell the patient I plan to add 25 or 30 ml to what they have chosen if they consent to this.
2. Many women make the comment, "I wish I had gone a little bigger" at the 6 month postoperative visit, so I usually suggest if its down to two possible choices, take the larger of the two. This is partially unavoidable because it is human nature to get used to your new size and wonder what if... I have had fewer problems with this by suggesting that women chose the largest of the sizes that they liked when trying the implants.
I would certainly at least try on a high profile implant in the 650 range to make sure it wouldn't look even better by avoiding excessive width. Also make sure that the base-dimension measurement of your chest is large enough that whatever implant you choose fits properly. Do these things Ali45, and you are very likely to get a great result!

Perhaps this may be helpful. Generally, if a woman wears a size 36 AB bra and would like to be a C cup, which is the average size that women wear and the average size bra that is sold, she needs a volume of approximately 350 to 390 cc to make that change. This becomes less if she's wearing a 34 bra, because it has a smaller strap size and the cups have a smaller diameter. A smaller diameter implant would then be a volume of approximately 300 to 350 cc. In the same way if she was more petite, maybe a double zero or size one and wore a 32 AB bra, then to become a 32C cup she would only require about 250 to 300 cc. The profile is determined by the amount of projection versus roundness that the you desire, as well as the size of the implant and size of your chest. Also, the placement or incision location will also have an effect on profile. Your Plastic Surgeon will measure you to determine the best shape, size and placement of the #implants to be used.

One of the most important discussions facing breast
augmentation patients is the size of breast implants that will be used. Most
patients are striving for harmony, balance, and proportion with the surrounding
anatomic structures. Typically they want a natural look with some fullness in
the upper breast area. Most patients tend to speak in terms of cup size.
Unfortunately cup size is not always helpful because manufacturers of bras
label their products differently and women don’t always wear their bras the
same way. In other words, some women wear their bras snugly, while others wear
them loosely. This creates communication problems when talking cup size. It’s
virtually impossible to translate cup size into CC’s for this reason.In an effort to determine breast size in a more
objective manner, we utilize external silicone sizers and the Vectra 3D
computer imaging system. External silicone sizers are designed to sit on top of
the patient’s breasts. They can be held against the patient’s chest or placed
inside the patient’s bra. This technique helps the patient visualize what their
breasts will look like with a specific sized implant. It also gives them a
sense of the volume that will sit on their chest wall and how it feels.The Vectra 3D imaging system is a relatively new
technology that we’ve found to be extremely helpful for determining breast
implant size. This system allows patients to visualize different sized implants
on their actual body. Patients find this to be extremely helpful.The ability to visualize your projected surgical result
alleviates much of the anxiety associated with this procedure. The use of
external sizers and the Vectra 3D imaging system accomplishes this goal. It’s
important to remember that final adjustments in the size of breast implants
will ultimately be made in the operating room depending on anatomic factors.

This may be large however I recommend you try on a variety of sizers at your next consultation to see what works for you. You may find that 650cc may actually give you a good result. 

At 5'7" 165 lbs theoretically anything over 400cc would achieve a C cup.  There multiple implant styles that can achieve the look you desire.  I recommend searching out a experienced, board certified plastic surgeon for another consultation.  There are some critical measurements that are performed to help determine the best implant for you.  These need to be done by someone experienced.  The distance in between your breasts is not likely to be conquered by using a larger implants and is part of the measurements taken into consideration during a consultation.   

If you don't trust what your surgeon is recommending go to more consutlations. No one can give you an accurate answer without seeing you.

Size is a complex decision that is not only based upon your height, weight and current cup/bra size but ALSO on also on your breast diameter, waist, shoulder, and skin envelope measurements. These can only be assessed in person during a consultation.

Schedule a consultation to choose the right breast implant size.

650 cc breast implants may be an appropriate recommendation to move you from A cup to a C or D cup. However the objective may need to be analyzed to determine if you really want to go that large. There is not a direct correlation between breast implant size and cup size as the cup size varies greatly among companies and even within the same company. Moreover, cup size can vary based on who is performing the measurement. The size of the implants are based on a combination of a patient's goals and objectives and her anatomy. In order to provide a natural looking augmentation, the surgeon needs to evaluate many factors including soft tissue coverage, skin laxity, chest wall width, breast imprint width, the shape of the breasts and relative level of constriction to ensure that the breast implants are appropriate for your body.Consult in person with 2 other experienced and expert board certified plastic surgeons to understand better your options.

Generally speaking,larger implants increase the risk of complications such as implant malposition, which can be very difficult to correct longterm.  In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements and characteristics.  Unfortunately, there is not a general rule of thumb or objective criteria to implant selection.
Your plastic surgeon will perform several measurements of your chest wall and breast anatomy and determine a range of implants that both fit your chest wall and reach your desired goals.

The next step is to try on this range of implants in the office with your doctor.   The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant.   It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you.
I wish you a safe recovery and fantastic result.
Dr. Gill