I am 5”8 123lb with a 32C bust looking to be a full E cup. Would 600 or 650cc work for me? (photos)

Dear amillia_lopez,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

hello thank you for your question and provided information as well.. based in your question and the picture you showed you are a good candidate for breast augmentation with implant in your case for best result you can apply for position sub muscular , its recommended if you get a consultation in person with a plastic surgeon to determinate how many cc do you need to the better results.

Hello and thank you for your question. You are a great candidate
for a breast augmentation.  600/650cc is a large implant.  It would be helpful to know your individual breast measurements in order to give you the most accurate advice.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.  This entire surgery
can be performed with a small incision technique.  
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon

600 cc or 650 cc
implants would make your situation much worse. 
At size 32 C, each 100 cc of implant corresponds to 1 cup size
change.  200 cc implants would take you
from a C to an E.  Also, your breasts are
pointing outward and are too far apart.  Implants
have to be centered under the nipple-areola complex.  This will require lateral dissection and your
breasts will displace inferiorly and laterally. 
The better technique is a modified Benelli.  Using a circumareola incision, your breast
tissue is reshaped creating upper pole fullness, elevated higher on the chest
wall and more medial to increase your cleavage. 
At the same time, fat transfers or small implants can be placed
retro-pectoral.  Aligning the nipple,
breast tissue and implant will maximize your projection, allowing use of a
smaller implant.  Small implants are mechanically
more stable with less long term complications. 
Best Wishes,Gary Horndeski, M.D.

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I do this with my patients, we then look at pictures of women with similar measurements with different size breast implants. My patients tell me that this process is very helpful in determining what size breast implant is right for them. 
Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author

Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing. Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest their cup size in an industry leader such as VS is not necessarily transferable to another brand.
Another point which is often under appreciated is that of anatomy and starting point. Any implant will add volume to the volume which is already present. The implant is additive. A particular volume will not necessarily confer the same cup size to different patients (often times it will not even confer the same cup size to different breasts in the same individual...remember they are "sisters" not "twins"). 
A general rule of thumb is that 125cc can represent somewhere between 1/2 to a full cup size increase. Smaller volume differentials (25-50cc) are typically less consequential representing a volume change of less than a shot glass. However, I have found these numbers, at least anecdotally, to be of little help. Patients often present with notions/goals which do not correlate with these sorts of sterile volumetric assessments.
When sizing patients, there are a number of useful tools including:
-3D imaging (has the added benefit of offering a volumetric analysis of the pre-operative breast)
-Breast sizers (rice bags)
-Goal photos
I also recommend that patients commit to a particular look rather than a cup size. Once a patient settles on a look that pleases them the overall cup size increase becomes less relevant.The key to obtaining a natural result is to stay within the parameters defined by your BWD. This will ensure that you avoid the dreaded "fake" look. 
With regards to your specific question, as long as you have been sized appropriately and are staying within the parameters as defined by your BWD you should get a reasonable result. 600-650 cc is large on any frame. Oversizing can be a risk for a more "fake" or augmented appearance. However, this appears to be the look you are seeking. It is also important to remember larger implants have more significant complications and decreased longevity of result (due to the added weight).
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Thank you for your question.
I usually not go above 500 cc implants although I do add some autologous fat for further augmentation and improvement of shape. All the possible complications and side effects of implants increase as the implant size increases. You are tall but you chest circumference is not big. You should discuss your concerns with an experienced Board Certified Plastic Surgeon near you who can help you with your concerns. All The Best !

It is a common misconception that an implant size would be equivalent to a bra size. Implant sizes varies on their shape and the chest wall measurements of the patient. An implant of the same size will look different on two individuals, as each would have a different measurement. Your best course of action would be to schedule an appointment with a board certified plastic surgeon for an in person examination and a detailed discussion of your surgical and non surgical options.

In general large implants have more issues that smaller implants due to the weight of the implant. So women have strong internal tissue and support a large implant without problems. Other women do not have good support and the implant slides down the chest and under the arm. Unfortunately there is no sure way to determine how your tissues will respond to the augmentation. An examination would help determine additional risk factors in you.  In general I think the 600 cc implant will give you the "look" you showed in the photos. 

Thank you for your question and photos
There are several variables to be considered when answering this question. It is always difficult to make a diagnosis based on photos alone, however, an augmentation with a smooth round silicone implant will achieve great results. When you meet with a board certified plastic surgeon, they will perform a set of measurements that will help determine what size of implants will fit your body and if a breast lift is necessary.  I hope this is helpful.