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This blog has been authored by “Dr. Joe” Gryskiewicz MD, FACS.

About Dr. Joe Gryskiewicz:

Dr. Joe Gryskiewicz is a board-certified plastic surgeon with over 30 years of experience performing aesthetic surgery. He is a Fellow of the American College of Surgeons and belongs to the American Society of Plastic Surgeons, The Aesthetic Society, The Rhinoplasty Society, and many other national institutions.

In addition to being in private practice, Dr. Joe is a writer and international speaker. He has traveled the world delivering over five hundred presentations to professional organizations on plastic surgery topics such as breast augmentation, rhinoplasty, hot topics, and ethics. He writes for a number of medical journals, society newsletters, and academic publications.

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Glamourous Breasts with Large Breast Implants

Written By Joe Gryskiewicz, MD, FACS

Breast augmentation with large breast implants is a surgical procedure that aims to increase the size of the breasts significantly. Large breast implants, generally defined as those exceeding 500cc in volume, can create a dramatic change in the appearance of the breasts. However, it’s important to note that the size of the implants must be chosen with consideration to the patient’s body proportions and their desired outcome. The procedure typically involves making an incision in the breast tissue and placing the implant either underneath or on top of the chest muscle. Recovery time can vary but may take several weeks before patients can resume their regular activities.

While breast augmentation with large breast implants can result in a noticeable and attractive outcome, it’s important to carefully consider your motivations, potential risks, and long-term effects of the procedure before making a decision. Make sure to consult with a board-certified plastic surgeon like Dr. Joe Gryskiewicz to get the best advice on breast augmentation with large breast implants.

What Is XL Breast Augmentation?

XL breast augmentation typically refers to a breast augmentation procedure using very large breast implants, usually those exceeding 800cc in volume. These types of implants are much larger than the typical range of breast implants, which typically range from 200cc to 800cc in volume. XL breast augmentation is generally considered a specialized procedure and is not recommended for all patients. The size of the implants used in breast augmentation surgery should be chosen based on the patient’s body proportions, their goals for the procedure, and other factors, such as the quality of their breast tissue and the condition of their chest muscles. While XL breast augmentation can create a very dramatic change in the appearance of the breasts, it may also pose increased risks and complications, such as implant malposition, rippling, bottoming out, implant rupture, and capsular contracture. It’s important for patients considering XL breast augmentation to carefully consider the potential risks and benefits of the procedure before making a decision.

The procedure can be performed under general anesthesia or local anesthesia with sedation, depending on the patient’s preference and the surgeon’s recommendation. Dr. Joe will begin by making an incision in the breast tissue, usually in the inframammary fold (the crease beneath the breast). The incision location will depend on the patient’s anatomy, the size of the implant, and other factors. Your surgeon will then create a pocket for the implant, either above or below the chest muscle, depending on the patient’s anatomy and the desired outcome.

Once the pocket is created, Dr. Joe will insert the XL breast implant and position it within the pocket. He will then close the incision using sutures or surgical tape. The procedure usually takes about 1-2 hours to complete, depending on the complexity of the case.

After the procedure, you will need to wear a compression garment or surgical bra to help support the breasts and reduce swelling. You may also be prescribed pain medication and antibiotics to help manage discomfort and reduce the risk of infection.

Pros and Cons of Extra Large Implants

Advantages of Large Implants

There are some advantages to getting very large breast implants, depending on an individual’s personal preferences and goals. Here are some of the advantages:

Disadvantages of Large Implants

The potential disadvantages associated with getting large breast implants that individuals should carefully consider before undergoing breast augmentation surgery are:

Best Candidates for Breast Augmentation with Large Implants

The ideal candidate for breast augmentation with large implants is someone who has a good overall health status, does not smoke, and has realistic expectations for the outcome of the procedure. It’s important for patients to have adequate breast tissue to support the implants and to be able to accommodate the additional weight of the larger implants. Women who are very physically active or participate in sports may want to carefully consider the potential impact of larger implants on their mobility and comfort.

Recovery after Breast Augmentation with Large Implants


The recovery process after breast augmentation with large implants is similar to that of smaller implants, but there may be additional discomfort due to the weight of the implants. Patients will likely need to limit their physical activity for several weeks following the procedure and may need to take prescription pain medication to manage discomfort. Dr. Joe always uses the Quick Recovery® breast augmentation technique. Follow-up appointments with the surgeon will be necessary to monitor healing and ensure that the implants are settling properly.

After undergoing breast augmentation surgery with XL implants, it’s crucial to follow proper post-surgery care instructions to ensure the best possible results and minimize the risk of complications. Here are some general guidelines for post-surgery care for patients with XL breast implants:

Scars after Breast Augmentation with XL Implants

Scarring is a common concern for anyone undergoing breast augmentation surgery, and the size and placement of the implants can affect the appearance and visibility of scars. The location and size of scars after breast augmentation with XL implants will depend on the specific surgical technique used by your surgeon. In general, larger implants may require larger incisions, which can result in more visible scarring. However, a skilled surgeon like Dr. Joe can use advanced techniques to minimize scarring and help patients achieve the best possible cosmetic results.

For scar management, Dr. Joe might recommend various scar management techniques, such as silicone gel or sheeting, massage, or laser treatments, to help reduce the visibility of scars. You should follow the surgeon’s instructions closely and avoid sun exposure or other activities that may irritate or damage the scar tissue.

While most incision scars will fade over time, they will likely be visible to some degree long-term. You should be prepared for the possibility of visible scarring and consider this when making the decision to undergo breast augmentation with XL implants.

Risks Associated with Getting Large Implants

Generally speaking, the risks of breast augmentation surgery are the same, regardless of the size of the implants. However, there may be additional risks due to the size and weight of the implants. For example, large implants can put more strain on the breast tissue and may lead to breast ptosis earlier in life. In addition, patients with large implants may experience back or neck pain, discomfort, and limited mobility. Make sure to discuss these risks with Dr. Joe during the pre-operative consultation to be fully aware of what you can expect after getting large breast implants.

FAQs about Breast Augmentation with Large Breast Implants

What is the biggest size implants you can get?

The largest size of breast implants available varies depending on the manufacturer, but generally ranges from 800cc to 1200cc. However, it’s important to note that not all patients are good candidates for very large implants, and the size of the implants should be chosen based on the patient’s body proportions and desired outcome.

What are XL implants?

“XL implants” generally refers to breast implants that are larger than the typical range, typically exceeding 800cc in volume. These types of implants are not recommended for some patients as they may pose increased risks and complications.

Do bigger breast implants hurt more?

There is typically some discomfort associated with breast augmentation surgery, regardless of the size of the implants used. However, it’s possible that patients who receive very large implants may experience more discomfort during the recovery process. Pain levels can vary depending on the individual and their tolerance for pain. Your plastic surgeon will prescribe pain medication to help you manage the discomfort during the early days of the recovery period.

What are the risks of choosing very large breast implants?

Choosing very large breast implants can increase the risk of complications, including implant malposition, rippling, bottoming out, implant rupture, and capsular contracture. Additionally, very large implants can put a strain on the chest muscles and skin, causing discomfort, pain, and potential long-term effects on the health of the breast tissue.

Can large breast implants look natural?

The appearance of breast implants, including their size and shape, can have a significant impact on the final outcome of breast augmentation surgery. While it is possible for large breast implants to look natural, it’s important to choose the right size and shape of the implant based on the patient’s body proportions and desired outcome. Additionally, other factors such as the placement of the implant, the skill of the surgeon, and the quality of the tissue can all play a role in achieving a natural-looking result.

Further Reading about Breast Procedures with Dr. Joe

Medical References about Breast Implant Surgery