What Are Realistic Long Term Results with 650 Cc Silicone Implants? (photo)

As others have stated, without personal examination it is impossible to give meaningful advice regarding the appropriateness of your choice. Trying on implants in a bra and stretchy top will help you determine if 650cc is in keeping with your goals, and only your surgeon can evaluate your exact anatomy at the time of surgery to determine if your choice is compatible with your tissue/skin laxity requirements.

That being said, there tends to be a bias against large implants in many of my colleagues' answers, when in fact I find at surgery that precisely those large(r) sizes tend to be required to adequately "fill" a woman's loose breast skin! Small(er) may be better when there is no cutaneous laxity, but when trying to avoid the scars and cost of a breast lift to tighten loose skin (or in your case, having to re-do your lift), adequate implant volume is often required to fill the existing skin brassiere and avoid the "rock in the sock" appearance!

So, if YOU like the look that 650cc provides, and your tissues require the volume that 650cc provides to fill out your deflated breasts, then by all means do not be deterred by talk about "sagging sooner." Genetics and individual skin elasticity are much more important determinants of "early or late sagging" than 8-10 ounces of implant volume. And, of course, you can always re-lift your breasts or reduce implant size (or both) later in your life if you so choose. Do what works best for you now; the future is promised to nobody! Best wishes! Dr. Tholen

Maybe because I practice on the east coast but I think those implants are large, nothing wrong with it but you will have a very obvious operated look and if that is what you want than all the best. Large implants will stretch out your lift as well

You can safely proceed with breast implants after a lift. You are, however, picking a very large size. This can be done, but this large size increases your risks. It is not risks of being injured or harmed. But it is risks that include that implant placement will not be just right after settling. Large sizes like 650cc requires that more of the muscle is transected or cut at the bottom of the muscle. This increases the chance of drooping or dropping too low in the future.
I will recommend starting with a smaller size below 500 cc. This is often a very good D cup anyway. After you heal you can more safely switch to a bigger size in the future.
Hope this helps
Dr Saunders