Is 650cc too large? (Photo)

Dear pinkyoj94,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hi and welcome to our forum!From your photos, I note loss of superior breast pole volume. There is relative breast symmetry. Your nipples reside above the fold at the bottom of your breasts, and you demonstrate minimal sag. As you are choosing a relatively larger sized implant, it does not appear that your require a lift to achieve your goal, and the size range seems reasonable. If a small implant is utilized, a vertical lift may be of benefit.It must be noted that some women with larger sized breasts have a tendency to develop neck pain, shoulder pain, back pain, bra strap grooving, and chronic rashes beneath the breasts due to their added weight. Be conservative.Best wishes...