Houston, TX
Authored by: Dr. Sam Sukkar, MD on July 25th, 2025
Large breast implants are a popular choice for people who want a fuller, more dramatic look. There are different types and sizes to fit many needs, and patients often choose large implants to boost confidence or enhance their body shape. The right size and type of large breast implant depends on a person’s body, health, and personal goals.
For anyone considering large implants augmentation, it’s important to understand how the surgical process works, what kinds of implants may be available, and the possible risks and recovery steps. Size can affect comfort, aesthetics, and the way a person feels after surgery, so learning all the facts and working with a skilled plastic surgeon is key.
Large breast implants or xl breast augmentation are designed for those seeking a more dramatic change in breast size, offering volumes and dimensions well beyond what is typical for standard augmentation.
Large breast implants are usually defined by their volume, measured in cubic centimeters (cc). While standard implants often range from 200cc to 400cc, large breast implants typically start at 600cc and can go up to 1000cc or even higher.
Doctors may use the term “extra-large” for implants above 700cc. Some clinics use saline implants that can be overfilled to reach sizes between 1000cc and 3000cc, though these are less common and are often reserved for very specific patient requests. Generally, these bigger sizes are chosen for patients seeking the most noticeable enhancement or for those with a larger physical frame.
Top brands such as Allergan, Mentor, and Sientra supply large breast implants in both silicone and saline types. They produce implants in various shapes and surface textures. For example, silicone gel implants from these brands are available up to 800cc, but saline versions can sometimes be filled past the labeled size with a doctor’s approval. Clinic policies and availability may vary depending on country and safety guidelines.
The main difference between large breast implants and standard ones is their size and the effect they have on the body. Standard implants are chosen for a natural look and typically range from small to moderate sizes. Large implants create a much fuller chest and can be very noticeable, often requiring more care both before and after surgery.
Large implants tend to weigh more, which can put extra strain on the skin, back, and shoulders. Risks such as sagging, implant displacement, and discomfort increase as size goes up. Standard implants usually feel more comfortable, but large breast implants can create pronounced results for those who want them.
There are a few main types of large breast implants commonly used for xl breast augmentation procedure. Each type is different in terms of feel, safety, and the outcome they can achieve.
Saline implants are filled with sterile saltwater. They are often chosen because if the implant shell leaks, the saline is safely absorbed by the body. One main benefit is that the size can sometimes be adjusted during surgery, allowing for more precise matching.
A key advantage is that ruptures are easy to notice since the breast will appear to deflate. Saline implants are usually less expensive than other types. However, saline implants can feel less natural. Many people with low body fat may notice rippling or wrinkling. This can be seen or felt on the skin. Some people also notice a firmer feel compared to silicone types.
Silicone implants use a thick, medical-grade silicone gel inside a smooth or textured shell. They are popular for their more realistic, soft, and natural feel that closely matches natural breast tissue. Silicone implants generally show less wrinkling under the skin than saline options.
Ruptures are harder to notice because the gel often stays in place after a break, so regular checkups or imaging may be recommended. Silicone implants tend to cost more and usually come pre-filled, so size can’t be adjusted during surgery. They are often chosen by those who want a more natural appearance and feel with their breast augmentation surgery.
Gummy bear implants are a newer type of silicone implant. They contain highly cohesive silicone gel that holds its shape even if the shell breaks. The firm texture helps these implants keep their shape and reduces chances of sagging or changing over time.
They are called “gummy bear” because the gel inside is more solid, much like a gummy candy. This makes them feel firm but still provide a gentle, natural curve. These implants usually come in a teardrop shape for a more natural look. Gummy bear implants rarely fold or ripple, which helps keep the breast shape smooth.
People often have different reasons for choosing xl breast implants. Some are looking for a bolder look, while others may have personal or work-related goals.
Many choose XL breast implants to create a more noticeable change in their appearance. They may want a curvier figure or a bust size that balances with broader hips or larger body frames. This can help people feel more confident in tight or fitted clothing.
Large implants can also help those who have little natural breast tissue and want a dramatic transformation. For some, getting extra-large implants means achieving a certain silhouette that matches their personal style.
For a few, large breast implants are chosen because of work in certain industries, like modeling, entertainment, or social media. These fields may place value on a bold body image, and some people find that having a larger bust improves job opportunities or audience engagement.
Others choose large implants for personal reasons, such as wanting to feel more feminine or increase self-esteem. Sometimes, it’s about matching how they feel on the inside with how they look on the outside.
Getting large breast implants requires careful planning and specific surgical methods. The steps focus on safety, comfort, and creating a look that meets a person’s goals.
Preparation starts with an initial consultation and a full health check and a detailed talk with the experienced surgeon. The surgeon will review a person’s medical history, current medications, and any allergies. This helps prevent complications during the surgical procedure.
Next, the doctor and patient select the desired XL implant size, shape, and type, usually saline or silicone. The patient may use imaging or sizer bras to see how different implants will look. For very large breast implants, surgeons may recommend lifestyle changes, such as quitting smoking or adjusting certain medications, to support healing.
Pre-surgery instructions often include fasting for several hours before arrival. Patients are usually advised to arrange transportation and support for after the procedure. The operating team will review all plans just before the operation to make sure everything is ready and safe. The focus is on making the patient as comfortable as possible from start to finish.
There are two main ways to place large breast implants during breast implant surgery: submuscular placement (under the chest muscle) and subglandular placement (over the muscle, below the breast tissue).
Submuscular placement provides a more natural slope and can help hide the implant’s shape and edges. It may reduce the risk of hardening around the implant (capsular contracture).
Subglandular placement usually has a shorter recovery time and may be chosen for women with enough natural breast tissue to cover the implant. However, for very large implants, this option can sometimes be less supportive, leading to higher risks of sagging or implant shifting. Surgeons choose the method based on a patient’s body type, skin elasticity, and what looks best for their frame.
Large breast implants can increase the risk of some complications. These risks include infection, capsular contracture (scar tissue that tightens around the implant), back or neck pain, and changes in nipple or breast sensation. Extra large implants can also lead to issues like stretching of the skin or implant rippling. Sometimes, more complex surgery may be needed if implants break or shift. Patients should discuss all possible complications with their surgeon before surgery.
The early recovery stage usually includes swelling, bruising, and some discomfort. Pain medicine and wearing a support bra can help manage these symptoms. Most people need to avoid heavy lifting and intense exercise for several weeks. Healing time varies, but patients often return to normal activities in two to six weeks. Follow-up visits with the surgeon are important to check on healing and address any concerns.
The cost of large breast implants depends on the surgeon, location, type of implant, and fees for anesthesia and the surgical facility. Prices often range from $6,000 to $19,500. Some surgeries can cost more if there are extra steps or if a breast revision is needed later. Many clinics offer financing options to help with payment. It is important to ask the surgeon for an exact quote that includes all fees for your breast augmentation procedure.
There is no official legal limit on breast implant size in the U.S., but most FDA-approved implants max out at 800cc for off-the-shelf use. Some surgeons offer custom implants that go beyond this, sometimes up to 1000cc or more, but these are not typical and may involve additional considerations or risks.
There is no exact cc-to-cup-size conversion because cup size varies based on chest width and bra brand. However, a rough estimate is: Increasing 1 cup size typically requires 150cc to 200cc. To go from an A to a D cup (3 cup sizes), most patients need 450cc to 600cc, depending on their frame and starting breast tissue. Keep in mind, a “D cup” on a petite woman will require fewer cc’s than on a broader-chested woman.
Choosing large breast implants is a highly personal decision that should be based on clear goals, body frame, and an understanding of the pros and cons. While these implants can create dramatic results and boost confidence, they also come with unique challenges that need thoughtful planning.
Working closely with a board-certified plastic surgeon is essential to select the right implant type, size, and placement technique. With proper preparation, realistic expectations, and skilled care, patients can achieve a bold, sculpted look that fits their lifestyle and enhances their self-image.
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Dr. Sam Sukkar, MD, FACS is a highly respected Board-Certified Plastic Surgeon in Houston, Texas, known for his expertise in advanced cosmetic and reconstructive procedures. As the founder of The Clinic for Plastic Surgery, Dr. Sukkar has set a new standard for excellence, performing over 20,000 procedures with a focus on delivering natural, refined results.
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.
With more than 20 years of experience, Dr. Sukkar is a Diplomate of the American Board of Plastic Surgery and a Fellow of the American College of Surgeons (FACS). He is also an active member of the American Society of Plastic Surgeons (ASPS) and the Houston Society of Plastic Surgery (HSPS). His dedication to innovation and continuing education has solidified his reputation as a leading expert in aesthetic surgery, specializing in breast surgery, body contouring, facial procedures, and non-invasive treatments.
Dr. Sukkar’s expertise has been recognized by Houston Magazine, naming him one of Houston’s “Top Docs for Women,” and he has been featured among RealSelf’s America’s Top Doctors. Committed to his patients, he prioritizes personalized care, ensuring every individual feels informed, comfortable, and confident in their aesthetic journey.
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Cover Image Credit: Staras / 123RF.com (Licensed). Photo Illustration by: Dr. Sam Sukkar, MD, The Clinic for Plastic Surgery.
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