Do 1300cc implants automatically need an internal bra? 6'2", plus size and really broad hourglass shape (Photo)

Thank you for the good question. Semantics can be confusing; for example, the "internal bra" terminology has been used differently by different surgeons.  In our practice, the "internal bra" refers to maneuvers utilized ( generally during revisionary breast augmentation surgery) to better support the breast implants in appropriate position.  These maneuvers may include adjustment of the breast capsules (capsulorraphy)  and/or the use of acellular matrix or  biosynthetic mesh.  The "internal bra" can be especially helpful when patients are experiencing breast implant displacement problems (such as bottoming out or lateral displacement).   
  I hope this helps. Best wishes.

The need for  an "internal bra" is usually made after the implants have been placed.  You may want to check with your surgeon and ask if some reinforcing sutures can be made at the base of the implant to avoid "bottoming out".  Of course this would mean that you would have a bra line incision.  I think you have excellent questions but these are best addressed by your Plastic Surgeon.