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Hiya. I had 275cc for many years and just had them replaced with 500cc (i have Motiva, not familiar with Natrelle, sorry) My pockets were also big!
My surgeon was aware of the look I was after (his recommendation was a full but natural look) as we discussed this at length with pics during the consultations. He had a few sizes available on the day to ensure he would achieve what I wanted. He reassured me and I trusted his judgement. I’m guessing you’ve researched your surgeon fully and seen some of his work/looked at any reviews. Discuss with him again, show him pics of what you want to achieve, discuss your implant concerns. He should be able to advise if this is possible and reassure you and if so , go with it! Good luck! X