Extra Large Breast Implants: Size Consideration Do’s and Don’ts

Choosing extra large breast implants is a big decision that can change a person’s appearance and confidence. These implants are typically much larger than standard sizes, often starting at 600cc or more. Extra large breast implants can give a more noticeable and dramatic look compared to regular implants, but they also come with special considerations for health, comfort, and recovery.

Key Takeaways of Extra Large Breast Implants

• Extra large breast implants typically start at 600cc and can exceed 3000cc, offering a highly noticeable result.
• Selecting an experienced surgeon with a proven track record in XL augmentation is essential for safety and outcome.
• Proper support, realistic sizing, and lifestyle adjustments are necessary to maintain breast surgery results and reduce risks.
• Saline implants are more common in extra large sizes due to their flexibility in achieving higher volumes.
• Long-term maintenance and monitoring are key, as larger implants can place extra strain on breast tissue over time.

What Qualifies as Extra Large Breast Implants?

Extra large breast implants are much bigger than the sizes most people choose for cosmetic breast surgery. These implants have a unique range of measurements, are often used for special reasons, and usually require custom options to meet different needs.

Typical Size Ranges and cc Measurements

Breast implant sizes are measured in cubic centimeters, or cc. Standard implants often range from 200cc to 600cc. Implants above 600cc are typically considered extra large.

Many clinics classify implants as “XL” when they reach 700cc or more. These implants can go much larger, with some models reaching as high as 3000cc, especially for patients who want a dramatic increase in volume.

Extra large implants can be saline or silicone, but very large ones (usually over 1000cc) are often saline because this allows for more flexibility in size during surgery. Surgeons will consider a person’s body frame, tissue quality, and desired outcome when deciding how large they can safely go.

Comparison to Standard Implants

Standard breast implants usually provide a fuller look without drawing much attention or causing physical strain. They fit well on most body shapes and are often picked to create a natural balance.

Extra large breast implants are much heavier and may require stronger breast tissue or extra support to prevent sagging. With large breast augmentation, comfort and lifestyle changes must be considered. Larger implants can make activities like running or some sports harder and may lead to other issues like back pain or stretching of the skin.

Custom Options for Extra Large Implants

For patients who want or need extra large breast implants, customization becomes important. These options can include picking the right width, projection, and shape to fit the person’s unique body. Some people may need additional surgical support, such as using surgical mesh or an “internal bra,” to hold the extra weight.

Saline implants are more common in the extra large range because they can be filled to a precise size during the surgery. Patients can discuss different textures or profiles with their surgeon.

Some clinics offer custom XL breast augmentation solutions for reconstructive needs or for those wanting a big change. Each patient’s goals, skin type, and anatomy all factor into these custom choices to help get the best results.

Size Consideration Do’s and Don’ts for Extra Large Breast Implants

When deciding on extra large breast implants, understanding the right steps to take, and the mistakes to avoid, can help you achieve safer, better results.

Do’s

• Choose a surgeon experienced in XL implants. Not every plastic surgeon handles very large sizes, so seek one with a track record in this specific area.
• Consider your body frame and lifestyle. Larger implants affect posture, mobility, and comfort. Make sure the size works for your daily activities.
• Plan for extra support. Discuss internal support options, such as mesh or an internal bra, to help hold the implant’s weight long-term.
• Understand the breast augmentation recovery commitment. Healing from extra large breast augmentation can be more demanding than standard sizes. Prepare for a slower return to high-impact activities.
• Have realistic expectations. Extra large implants will change not only your appearance but also how clothes fit, how you move, and how your body feels.

Don’ts

• Don’t pick a size based only on photos or trends. What looks good on someone else may not suit your proportions or health.
• Don’t ignore skin and tissue limitations. Going too large for your body’s natural support can increase the risk of complications like sagging or rippling.
• Don’t skip follow-up appointments. Larger implants require close monitoring, especially in the first year.
• Don’t underestimate long-term effects. Over time, extra weight on breast tissue can cause changes in shape, sensation, and comfort.
• Don’t assume “bigger is always better”. Size should enhance your body, not overwhelm it.
• Don’t skip wearing proper support bras. Daily support is critical to reduce strain on skin and tissue.
• Don’t resume high-impact workouts too soon. Activities like running, jumping, or heavy lifting can cause discomfort and increase sagging risk if started before full healing.

Reasons for Choosing Extra Large Breast Implants

People select extra large breast implants for several specific reasons. Decisions are based on unique preferences, physical needs, and even medical history.

Personal Aesthetic Goals

Many individuals choose extra large breast augmentation because they want a dramatic, noticeable change to their body. Some have always had small breasts and feel that a bigger size will help them match their self-image or boost their confidence.

Others are inspired by celebrities or social media and want a curvier or fuller look. For certain people, the goal is to achieve a high-profile silhouette that stands out and fits their personal style.

Body Proportion and Frame Considerations

Some people have a larger body frame, broad shoulders, or wide hips. For them, choosing extra large breast implants can create a more balanced and proportionate appearance.

Larger implants can help these individuals achieve symmetry and make their bodies look more even overall. People who are tall or have strong builds may feel that standard implants do not create the look they want.

Doctors often evaluate skin quality, chest width, and natural breast tissue to decide what implant sizes will give the best results. This helps keep the results proportional and may lower the risk of future issues like sagging.

Revision and Secondary Augmentation Cosmetic Surgery

Patients who seek revision or secondary breast augmentation surgery may pick extra large implants if their earlier breast augmentation did not meet their goals. Sometimes, people want to increase their breast size after pregnancy, weight loss, or changes in their natural breast tissue.

Also, those who have had a mastectomy or significant tissue loss may need bigger implants to restore their breast shape and volume. Correcting problems such as poor symmetry or implant malpractice from earlier surgeries can also be a reason to opt for XL implants.

Selecting the Right Plastic Surgeon

Finding the right plastic surgeon is a crucial step for anyone thinking about extra large breast implants. The surgeon’s skill, experience, and approach to patient care have a huge impact on both results and safety.

Experience With XL Breast Augmentation Procedure

Surgeons who have worked with extra large implants understand the unique challenges involved. Not every plastic surgeon has the same level of experience performing large breast augmentation procedures. Patients should look for a professional who regularly handles large and XL breast implants and can show before-and-after photos of previous cases.

A surgeon experienced in this type of breast surgery will know how to select implant size, type, and placement to reduce risks like stretching, rippling, or complications. They will also be more familiar with managing expectations and guiding recovery for larger implants. Choosing a board-certified plastic surgeon who is skilled with large implants can help ensure better, safer outcomes.

Consultation Process

The initial consultation is much more than a simple appointment, it is a detailed discussion about goals, health, and realistic outcomes. Patients should expect to talk openly about their desired look, activity level, and any medical history that might affect the surgery.

During the meeting, the plastic surgeon usually takes measurements, looks at skin elasticity, and explains which implant options make sense for the body’s frame. 3D imaging or sizers may be used to help the patient imagine their results.

Surgical Procedures for Extra Large Breast Implants

Extra large breast implants require special planning and skill because the size and weight can affect how the chest looks and heals.

Incision and Placement Techniques

Plastic surgeons use a few common incision sites for large breast augmentation procedure: inframammary (under the breast fold), periareolar (around the areola), and transaxillary (through the armpit). The inframammary incision is often preferred for extra large implants because it allows better access, control, and support during the procedure. This technique can also reduce tension on the skin and helps keep scars as hidden as possible.

When placing extra large implants, surgeons may use submuscular (under the chest muscle) or subglandular (above the muscle, under the breast tissue) placements. Submuscular placement is more common because it adds extra coverage and support, lowering the chance of implant “rippling” or visible edges.

Fat Grafting and Liposuction Assistance

Fat grafting can be used along with breast augmentation to create a fuller, more natural shape or smooth out the edges of large implants. In this approach, liposuction is performed on areas like the thighs or abdomen to collect fat that is then injected around the breast.

This method can help soften the look of extra large implants and reduce the chance of unnatural contours. Fat grafting is often selected to add volume in specific parts of the breast or to improve symmetry. However, it does not replace implants for large size increases, but rather helps enhance the final look.

Popular Implant Types and Materials

Extra large breast implants come in a few main types. Each breast implant type uses different materials and design features that affect how the breasts look, feel, and fit the body’s needs.

Saline Implants

Saline implants have an outer shell made of silicone. The shell is filled with sterile salt water during surgery. One big advantage is that saline implants can be adjusted easily by adding or removing fluid during placement. For extra large implants, saline is the main choice because it allows sizes up to 3000cc or even more.

Saline implants are often recommended when a very large size is requested. They can be placed with a smaller incision since they are filled after insertion. In the rare case of a rupture, the saltwater is safely absorbed by the body. Their main drawback is that they may feel less natural than silicone gel, especially in thinner patients.

Silicone Gel Implants

Silicone implants use a silicone shell filled with a soft, cohesive silicone gel. These are very popular for most breast augmentations because they are soft and feel more like natural breast tissue.

For extra large sizes, though, silicone gel implants are not as common because they have an upper size limit, usually around 800cc. Safety regulations and risks from heavier, solid gel filling limit how big these implants can get. For patients who want dramatic results, this can be a drawback.

Frequently Asked Questions About Extra Large Breast Implants: Size Consideration Do’s and Don’ts

What to expect during the recovery period after extra large breast augmentation?

Most people need to take it easy and rest after surgery. Doctors usually recommend a lot of bed rest for the first few days and wearing a surgical bra. Pain, tightness, and swelling are common at first, and light walking is important to help prevent blood clots. Most patients resume normal activities in about two weeks. Avoid heavy lifting and intense exercise for at least six weeks.

What are the potential risks associated with extra large breast implant surgery?

As with any major surgery, risks can include infection, bleeding, and problems with healing. People with extra large implants may also face issues like skin stretching, changes in nipple sensation, implant shifting, or excess scarring. Larger implants can put more strain on breast tissue. Over time, this can cause drooping or back pain.

How do different sizes of breast implants (like 1500 cc or 2000 cc) affect the final cup size?

The final cup size after breast augmentation depends on the starting breast volume, shape, and the size of the implant chosen. Implants over 800 cc are considered extra large and can give a very dramatic change in bust size. Implants sized at 1500 cc or 2000 cc can increase the bust by several cup sizes, but results will vary based on body type.

What determines the maximum size of breast implants one can safely get?

The maximum implant size depends on factors like chest width, skin stretch, and the amount of breast tissue. The FDA approves silicone gel implants up to 800 cc, but saline implants can be overfilled past that size to reach 1500 cc or even 2000 cc, under certain conditions. Surgeons consider each person’s body to decide what is safe. Stretching the skin too much or using a size that’s too large for the chest can lead to more risks.

Conclusion and Summary of Extra Large Breast Implants: Size Consideration Do’s and Don’ts

Extra large breast implants offer a bold, dramatic enhancement, but they require more careful planning and consideration than standard sizes. From choosing the right surgeon to understanding how size affects comfort, recovery, and long-term results, every step plays a role in achieving a safe and satisfying outcome. These implants can deliver the high-impact look some patients want, but they also demand realistic expectations and a commitment to proper aftercare.

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About the Author – Meet Dr. Sam Sukkar, MD

Dr. Sukkar earned his Doctor of Medicine (M.D.) degree from Louisiana State University School of Medicine in 1992 after graduating summa cum laude with a Bachelor of Science in Microbiology. He then completed an intensive General Surgery Residency at the University of Texas Hermann Hospital before being selected for a highly competitive Plastic Surgery Fellowship at Northwestern University in Chicago, one of the most prestigious training programs in the country.

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Cover Image Credit: VershininPhoto / 123RF.com (Licensed). Photo Illustration by: Dr. Sam Sukkar, MD, The Clinic for Plastic Surgery.