Should I get 200cc or 250cc implants? Or larger? (photo)

Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing. Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest their cup size in an industry leader such as VS is not necessarily transferable to another brand.
Another point which is often under appreciated is that of anatomy and starting point. Any implant will add volume to the volume which is already present. The implant is additive. A particular volume will not necessarily confer the same cup size to different patients (often times it will not even confer the same cup size to different breasts in the same individual...remember they are "sisters" not "twins"). 
A general rule of thumb is that 125cc can represent somewhere between 1/2 to a full cup size increase. Smaller volume differentials (25-50cc) are typically less consequential representing a volume change of less than a shot glass. However, I have found these numbers, at least anecdotally, to be of little help. Patients often present with notions/goals which do not correlate with these sorts of sterile volumetric assessments.
When sizing patients, there are a number of useful tools including:
-3D imaging (has the added benefit of offering a volumetric analysis of the pre-operative breast)
-Breast sizers (rice bags)
-Goal photos
I also recommend that patients commit to a particular look rather than a cup size. Once a patient settles on a look that pleases them the overall cup size increase becomes less relevant.
The key is to respect your BWD. It is impossible to say for certain whether a 250 cc implant will deliver a B/C. Too small is a relative question. That being said the key is to respect your BWD. I would not struggle over a 50 cc differential (slightly more than a shot glass), as this is unlikely to make a dramatic difference in outcome. Both of your choices seem reasonable.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).
Donovan Rosas MD
Board Certified by the American Board of Plastic Surgery
Member: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons
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While there is no way to predict with 100% accuracy how your breast will look post-op, I would hope that a thorough exam and measurements were done to choose the best implant for your breast. Being 5'8, you could maintain the 250 cc implant. I am sure your surgeon will take the time to make sure you are happy, helping you choose the appropriate implant for your aesthetic desire. All of us want to make sure our patients are happy and 100% comfortable with the procedure. If you have additional questions, contact your surgeon. I'm sure they won't mind talking with you.

I would suggest going back to your surgeon and trying on sizes again. Both sizes would look good on you. The 250 cc is just a fuller look. You will be closer to the photos with the 250 cc implant.