Went from 500 cc saline to 650 cc silicone, why are they not any larger? They look exactly the same. (Photo)

Just from looking at the photos, it seems you need a mastopexy(lift) to achieve your goals.  Just placing larger implants is not going to give you the upper pole fullness, as the implants will just weight down the breastTalk to your PS about a lift.  Good luck

The objective of a Breast Lift (#Mastopexy) is to improve the shape and position of the breast without reducing their size. It is used especially for breasts which sag or droop (#ptosis) as a result of aging, weight loss, pregnancy, or breastfeeding. However, many women report more satisfaction if an implant is used at the time of #mastopexy. The implants further shape their breasts, restoring superior fullness or volume which may be decreased over time.In regards to implants alone, this is usually said to be mistake by patients reflecting back at the decision. Most breasts will look larger and more droopy with solely implants. They will sag more and sooner, due to the sudden and excess weight. At times it's possible for a “Snoopy” breast or double bubble to develop as a result.  A Breast Lift can also be done while having existing Breast Implants and can be used to correct #asymmetry. It is imperative you select a plastic surgeon who is #board-certified and has a great deal of experience with breast #augmentation and the incision type, #implant placement, and implant type. Plastic surgeons who have specialized in breast surgery and cosmetic surgery are suitable to perform your breast augmentation. Aside from checking board-certification, it is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.

Unfortunately, (despite going much larger) you won't enjoy upper pole fullness from an implant due to the nature of your skin. Your skin is sagging and lacking structural strength to hold up the weight of the implant. You will need a breast lift to reposition the breast mound higher. Another issue is that your implants are not under the muscle, they are partially under the muscle. Muscle coverage is only on the top 1/4 of the implant, so again, there is nothing holding the implant in place. Talk to your surgeon specifically about these issues to find a good solution to your problem. I hope this helps. Best wishes and kind regards, 

Good morning,Basically the larger you are, the more it takes to make a difference, so I would not expect going from 500cc to 650cc would make that much of a difference. Also, you switched from saline to silicone. That doesn't make much sense- you wanted more upper pole fullness and roundness, but you switched from saline which provides more of that look to silicone, which always sits a little lower in the pocket with less upper pole "bump". My recommendation would be more along the lines of 800cc overfilled saline implants.

SO, you did receive an implant that was 150cc larger(atleast if you have a implant device card to prove it), then your breasts are bigger. What your surgeon failed to mention to you was is that your Mod + saline implants have a similar projection/platform and your HP silicone implant. So if you wanted a lot more projection beyond that, you would have had to go UHP, going up 150cc probably only gave you 0.5ish cm of extra projection, which with your breasts you won't notice. Sorry you are disappointed.