Why Don't Doctors Encourage Women to Go Bigger?

500cc's on one petite body frame can be very large, but on a larger frame can be swallowed up by the surrounding tissues.  I encourage all my patients to spend time during the consultation and pre-op process to "try on" implants so that there is no mis-understandings after surgery.

Surgeon's goal should always be making sure the patient is happy in the long run. Sizing of implants are done in many ways. But you are right, in trying sizers for the first time most patient will choose a size that may appear too small to them a year later. It is always best to pick a size that is slightly larger than what feels right. There are exceptions that must be considered.