I am very tall, 6’1” to be exact. Would 600 cc implants look natural?

Large implants may appear perfectly natural in a woman of taller stature.  Whether your breast tissue would safely accommodate them is a question your examining plastic surgeon would best address.  By definition, these implants are substantially heavier than "average size", so additional risks of breast tissue thinning, rippling, and back, neck, and shoulder pain exist.  Your plastic surgeon will advise you whether the size selection will safely achieve your aesthetic goals.

Thank you for your question.  When determining what size implants would suit your frame, your plastic surgeon would take accurate measurements of your breasts as well as assess your skin tone, and elasticity to provide a range of implants that would suit your body type.  Keeping in mind that implants at the upper range of your maximum diameter may give you an increased risk of rippling and symastia (where there is no space between your breasts).  @yorkplasticsurgery

Tall women with larger frames and broader chest, shoulders, and hips can often handle larger implants that would make smaller women's chests look overcrowded and heavier. I would recommend that you go with the size that boosts your self-esteem, and fits your anatomy.  In addition, choosing an implant based on an aesthetic goal that exceeds your anatomic capacity may lead to complications and possibly revision. 

Without pictures or a direct examination, it is hard to say what will work best for you.  However, the taller you are, the more you may need to carry to achieve the look you are after.  If you have B tissue already, you will mask the implant with your own tissues to a degree, and this can keep the breasts from looking too round regardless of the profile.  In a patient who is 6'1, a 600cc implant is not a large size and probably would get you to where you want to go.  The key is to make sure that the profile dimensions match up well with your frame.  Usually once you get past the 500cc range, the only profiles that are not too wide are either the HP (high profile), HPX (high profile xtra), or UHP (ultra high profile). I would discuss this with your board certified plastic surgeon and see what style will work best for you.  I hope this helps

When concerned, always best to discuss again with your surgeon. After I measure and discuss goals 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                  
RealSelf Distinguished Hall of Fame Inductee

Hello and thank you for the question.  An in-person consultation is needed to give you a useful advice and I would suggest that you discuss this with your plastic surgeon. Many factors including patient's desired breast size, skin envelope (both quality and quantity) and breast width diameter among others are important in selecting the implant size. Choosing the right implant should be a shared decision between you and your plastic surgeon. In a typical consultation, you try a variety of in-bra sizers and in combination with several other measurements that your surgeon will do, the final implant volume is selected. Use of 'goal pictures' is  also an effective way to communicate your goals with your plastic surgeon. My best advice is that you communicate your goals and aesthetic ideals with your surgeon as clearly as possible and trust your surgeon's skills and abilities to deliver what you are looking for.
Best wishes and good luck,

Pejman Aflaki, M.D.

Johns Hopkins-trained double board-certified plastic surgeon

You need a formal evaluation by a licensed plastic surgeon and expert in breast augmentations to determine what is best for you and your goals.Proper breast enlargement is not a "cookie-cutter" procedure where the same technique is applied to every patient. Every woman who comes to my practice has unique needs and different goals for her breast augmentation. As a board-certified plastic surgeon, I always listen carefully to each woman's concerns and thoroughly discuss the key points of the procedure. I also take into account their overall height and weight, the size and shape of the underlying chest and ribcage, the tightness and elasticity of the skin, and the amount of natural breast tissue. Prior to the procedure, we discuss and make decisions regarding location of the incision, whether to place the implant under or over the chest muscle, and what type of implant to use (I offer multiple types of silicone gel breast implants, as well as saline implants).
My experience performing thousands of aesthetic breast surgeries in a wide anatomical range of patients enables me to achieve consistently beautiful and natural results that are customized to each patient’s body type and goals. These results are the product of extensive communication, meticulous planning, and skillfully executed surgery.
I suggest consulting with a board-certified plastic surgeon and expert in Breast Augmentation surgeries. - Dr. Cohen

Dear hannahharvey10,
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

As the other surgeons have stated in person exam would be necessary,  but in someone as tall as you I would guess that 600 cc would not be excessive. Just talk with your surgeon so you are both on the same page.
Good luck with you surgery.
Dr. T

Thank you for sharing your question.  Breast implant selection is an exciting, but stressful part of the breast augmentation process as there are so many choices. Unfortunately it is impossible to recommend the best implant style, size or shape without an in-person examination that allows for the measurement of key breast parameters, as well as permits an in-depth discussion as to your desired goals and outcome. I would recommend seeing additional ASPS board certified plastic surgeons to ensure that the implants you decide upon are the right ones to meet your expectations.  It sounds as if it may be wise for you to "try on" several of the implants so that you can have a better visual representation as to what they would look like.  Best wishes!