Is 650cc Silicone too Big For My Frame? 5'8, 133 lbs, have 390cc Now.

Some women want large breasts and that is their business.  The plastic surgeon's responsibility is to make sure the new implants do violate the anatomic borders of the breast.  When implants are quite large, silicone gel is usually a preferable choice.

Without examining you it is difficult to be sure, but if you have 390cc now, then going to 650+/- should be ok. Silicone is better choice for larger implants.

Good luck.

Thank you for the question.

As you can imagine, it is not possible to give you precise advice without direct examination and/or a detailed communication regarding your goals.

It will be important to meet with well experienced board-certified plastic surgeons  for direct examination and a full discussion of your goals in order to determine what size, type and profile of breast implants  will be “the way to go”.  

The first step is to meet with well experienced board-certified plastic surgeons;  do your due diligence and select your plastic surgeon carefully. Ask to see lots of examples of his/her work.

In my practice, with the goal of improving communication, I ask patients to bring in photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural”  etc means different things to different people and therefore prove unhelpful.
 Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.

Once you have found a surgeon who you feel comfortable can achieve your goals, have communicated your goals clearly, you may feel comfortable in allowing him/her to choose  beat breast implant size/profile that will best achieve your goals.  In my practice, this decision is made intraoperatively.

I hope this helps.