I am 5'7" and 140 lbs. I currently have 600cc ultra high profile silicone implants. Any suggestions? (Photo)

Thank you for the question.   Generally speaking, the best online advice I can give to ladies who are considering  revisionary breast augmentation surgery ( regarding breast implant size/profile selection) is:1. Concentrate on choosing your plastic surgeon carefully.  Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work. 2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining which operation and/or breast implant size/type/profile will most likely help achieve your goals.In my practice, the use of 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” or "D or DD cup" 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.   Therefore, I ask that my patients not base their communication preoperatively OR  their satisfaction with the outcome of surgery postoperatively, on achieving a specific cup size. 3.  Once you feel you have communicated your goals clearly,  allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals.  Again, in my practice, this decision is usually made during surgery.  The use of temporary intraoperative sizers, viewing the patient's breasts in the upright and supine position, are very helpful during the breast implant selection process.I hope this, and the attached link (dedicated to revisionary breast surgery concerns), helps.  Best wishes.

Unfortunately, the picture of the desired result is not appearing here. However, I suggest you consult with aboard certified plastic surgeon in person to better learn more about this situations and potential #revision methods. Matters such as sagging or drooping  and size change will not improve with time. At this point, a larger implant may cause the skin to stretch and the breasts to sag. You may want to consider a breast lift or wider implants if deemed a candidate per your consultation. If a revision with or without a lift is a possibility, it's best to wait 6 to 12 months depending on the reason for #revision.  As with all cosmetic surgery, results will be rewarding if expectations are realistic. With any surgical procedure, there are some risks which your doctor will discuss with you during your consultation.

Thank you for your picture. It is impossible to judge and compare results. Implants result in different shapes in different people. Your augmentation looks very reasonable. Going up to 200 cc is only going to give you problems in the future.