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XL Breast Implants in Seattle

Extra Large Breast Augmentation Seattle
Patients who want a fuller, more dramatic silhouette often ask about extra large breast implants that go well beyond standard augmentation sizing. XL breast augmentation at Seattle Plastic Surgery is designed for women seeking significant volume, with implant options that reach 1000cc, 1400cc, and beyond. Every plan starts with a detailed evaluation of chest wall anatomy, tissue elasticity, and long-term support needs.
What Are XL Breast Implants and How Big Are They?
XL breast implants usually start AT 800cc and can go all the up to 1400cc or more, well beyond the 300cc to 500cc range used in most standard breast augmentation procedures. This category exists for patients whose goal is to have a much larger breast size and projection.
Both saline and silicone gel-filled implants are available in different sizes, but the options suitable for very large augmentation depend on the specific implant product, dimensions, tissue coverage and patient anatomy. Silicone gel implants may provide a different feel and appearance than saline implants, while rippling can occur with either type. Our surgeon can explain which FDA-approved implant options are appropriate for your goals and anatomy.
Saline remains an option for patients who prefer a smaller incision or have specific medical considerations, though it is used less frequently once volumes climb past 800cc.


How Big Is a 1000cc or 1400cc Breast Implant?
A 1000cc implant contains 1,000 cubic centimeters of volume, while a 1400cc implant contains 1,400 cubic centimeters. Here, volume refers to the amount of space the implant occupies, not its exact width or projection. The physical dimensions of an implant depend on its manufacturer, base width, profile and projection. This means two implants with the same cc volume may not have the same dimensions or create the same appearance on the body.
At this scale, the decision is not just about the number on the implant. Chest wall width, existing tissue, and skin elasticity all shape how a given cc size will actually look and feel on an individual frame. This is why it is recommended to discuss sizing at the clinic during a consultation at Seattle Plastic Surgery.
XL Breast Implants Before & After Results
Real outcomes tell the story better than any product description. The gallery below shows actual patients of Seattle Plastic Surgery who chose extra large breast implants, with results organized by implant size so patients can compare cc volumes side by side.

Free 3D Simulation before XL Breast Augmentation Surgery
Choosing between 1000cc and 1400cc, or deciding whether XL sizing is right at all, is easier with a visual reference. Seattle Plastic Surgery offers a free 3D simulation during consultation that lets patients preview how different implant volumes will look on their own body and frame before any decision is made.
Patients can adjust implant size, profile, and placement virtually and see a realistic projection of the outcome.

Am I a Good Candidate for Extra Large Breast Implants?
Not every patient is a suitable candidate for large implant volumes, and a thorough evaluation is necessary compared to regular breast augmentation. Good candidates should generally have:
- Adequate skin elasticity and chest wall tissue capable of supporting significant implant weight
- Good general health and nonsmoker, or a willingness to stop smoking well before and after surgery
- Realistic expectations about implant weight, potential back and shoulder strain, and long-term maintenance
- An understanding that a future revision or lift may be needed as tissue responds to added volume over time
If a patient does not have adequate skin to stretch, surgeons might recommend a staged approach. Here a moderate implant will be placed first where it will help the skin to get stretched and then the implant will be exchanged with the desired CC implant. This approach may be considered for patients who do not have enough breast or chest tissue to accommodate the desired implant size.
XL Breast Implants vs. Standard Breast Augmentation

| Feature | Standard Augmentation | XL Breast Implants |
| Typical Implant Size | 300cc–500cc | 800cc–1400cc+ |
| Procedure Time | 1 hour | 1 hour |
| Recovery | 3–5 days | 3–5 days |
| Candidacy Evaluation | Standard assessment | Detailed tissue and chest wall assessment |
| Placement Approach | Single-stage | Single-stage or staged (case dependent) |
What to Expect During Your XL Breast Augmentation Procedure
XL breast augmentation follows the same basic surgical framework as standard breast augmentation, but the larger implant size requires careful attention to implant selection, pocket creation, tissue support and positioning.
- Consultation and measurements: Surgeons evaluate chest dimensions, existing breast tissue, skin elasticity and overall anatomy to help determine an appropriate implant size and placement.
- Implant selection and sizing: The implant size, profile, base width and projection are selected based on anatomy and desired outcome. Imaging or 3D simulation may also be used to help visualize potential results.
- Anesthesia: General anesthesia is administered to keep you comfortable throughout the procedure.
- Incision and pocket creation: The surgeon makes the planned incision and creates a pocket within the breast tissue or beneath the chest muscle, depending on the surgical plan and your anatomy.
- Implant placement: The selected implant is carefully positioned within the prepared pocket. The surgeon assesses the implant’s fit and positioning relative to the surrounding tissue.
- Symmetry and positioning check: Implant position, breast shape and symmetry are evaluated before the incisions are closed. Adjustments may be made when necessary to achieve appropriate positioning.
- Closure and recovery: The incisions are closed with sutures, and dressings or a surgical support garment may be applied. You are then monitored during the initial recovery period before being discharged according to your surgical team’s instructions.
XL Breast Implant Placement Options
At Seattle Plastic Surgery, breast implants can be positioned in different ways depending on a patient’s breast anatomy, existing tissue, and desired appearance. The three placement options commonly considered are:

Above the Muscle
With this approach, the implant sits underneath the natural breast tissue but on top of the pectoral muscle. Because the muscle is not covering the implant, this placement can provide noticeable breast volume and may be appropriate for patients who have enough natural breast tissue to provide adequate implant coverage.
Below the Muscle
Here, the implant is placed underneath the pectoral muscle. The muscle provides an additional layer of coverage over the upper part of the implant, which can help create a more gradual transition from the chest to the breast. This placement may be considered when additional soft-tissue coverage is desired.


Dual-Plane Placement
A dual-plane approach combines elements of both techniques. The upper portion of the implant is positioned beneath the pectoral muscle, while the lower portion sits beneath the breast tissue. This configuration provides additional coverage toward the top of the implant while allowing the lower breast to maintain a fuller contour.
The best implant position depends on factors such as breast anatomy, tissue thickness, implant selection, and the patient’s aesthetic goals. A surgeon can evaluate these factors during a consultation to determine which approach is most appropriate.
Meet Your XL Breast Augmentation Surgeons
Extra large breast augmentation requires surgical judgment built on years of specific experience with larger implant volumes. Surgeons at Seattle Plastic Surgery bring that background to every XL consultation.
Dr. Craig Jonov
Award-Winning Board-Certified Cosmetic Surgeon
Dr. Craig Jonov has more than 20 years of cosmetic surgery experience, with a practice focused on the breast, body and face. He completed his general surgery residency at Allegheny General Hospital and additional fellowships in facial cosmetic and reconstructive surgery and general cosmetic and reconstructive surgery.
Dr. Jonov performs breast augmentation and other cosmetic breast procedures. For patients considering XL breast implants, he can evaluate implant size and placement based on their anatomy, existing breast tissue and desired level of enhancement.
Board Certified: American Board of Cosmetic Surgery
Areas of Expertise: Breast, body and facial cosmetic surgery


Dr. Tarak Patel
Double Board-Certified Plastic & Reconstructive Surgeon
Dr. Tarak Patel has more than 25 years of surgical experience in cosmetic and reconstructive surgery. He completed his general surgery training at Tripler Army Medical Center and plastic surgery training at the University of Texas Health Science Center at San Antonio. He also served in the U.S. Army for 25 years and retired as a colonel.
Dr. Patel performs breast augmentation, enhancement and revision procedures. For patients considering XL breast implants, he can assess implant size and placement based on chest dimensions, breast tissue and aesthetic goals.
Board Certified: American Board of Plastic Surgery
Active Member: American Society of Plastic Surgeons
Areas of Expertise: Breast augmentation, breast enhancement, breast revision, breast reconstruction and body other plastic surgeries
XL Breast Augmentation Recovery
Recovery after XL breast augmentation is generally similar to recovery from a standard breast augmentation. Most patients spend the first few days resting and gradually begin getting back to their normal routine. Because larger implants add more weight and volume, one may notice more tightness, pressure or soreness in the chest during the early part of recovery.
| Timeframe | What to Expect |
| Days 1–5 | Focus on rest and recovery. Arm movement may be limited, and you will typically wear the surgical support garment recommended by your surgeon. |
| Week 2 | Many patients return to desk work and other light daily activities if they feel comfortable. |
| Weeks 4–6 | Most patients can gradually return to exercise, including strength training, once their surgeon says it is safe to do so |
Because XL implants carry more added weight than standard sizes, patients should expect slightly more initial tightness and adjustment during the first days of recovery. Following surgeon guidance on avoiding strenuous activity and heavy lifting during this window supports proper healing and long-term results.

How Much Do XL Breast Implants Cost in Seattle?
The cost of XL breast augmentation at Seattle Plastic Surgery starts at $9,500, including implants. The starting price includes the facility fees, anesthesia, surgeon fee, implant cost and post-operative follow-up visits.
However the final cost always depends upon a person’s anatomy and goals. In some scenarios, patients also choose other surgical procedures such as breast lift, tummy tuck, brazilian butt lift and other body contouring procedures which eventually changes the final quote after consultation.
Risks & Considerations With Larger Implants
Choosing an extra large implant size comes with considerations beyond those of standard breast augmentation, and an honest conversation about these risks is part of every consultation at Seattle Plastic Surgery.
- Increased strain on the back, shoulders, and neck due to added weight
- Higher chance of visible rippling in patients with thinner tissue coverage
- Greater long-term skin stretching, particularly over time
- Possible need for a future breast lift as tissue responds to added volume
Combine With Other Procedures
Some patients may combine XL breast augmentation with other procedures such as a breast lift, tummy tuck or a major body contouring such as mommy makeover. However, adding procedures also changes the length and complexity of surgery and may affect recovery. Your surgeon must determine whether combining procedures is appropriate and safe based on your health, anatomy and total surgical time.
Ready to Explore Your XL Breast Implant Options?
The right implant size involves more than just the number of cc’s. Schedule a consultation to discuss implant size, type and placement based on individual anatomy and aesthetic goals.
Seattle Plastic Surgery offers a straightforward path forward, from an in-depth consultation with board certified surgeons and free 3D simulation that helps visualize results before committing to a specific cc size.
Frequently Asked Questions
Will I need a breast lift with XL implants?
Some patients do, particularly if there is existing skin laxity or the implant size is likely to cause significant stretching over time. This is evaluated during the initial consultation and candidacy assessment.
How much do XL breast implants cost?
XL breast augmentation at Seattle Plastic Surgery starts at $9,500, with implants included. Patients have the option to choose any implant irrespective of the size in the same price. However the price might change according to a person’s anatomy or goals. Also it depends if the person is choosing any other surgery to go with the XL breast surgery.
Is silicone or saline better for extra-large implants?
Silicone is more commonly used at XL sizing because it holds its shape more naturally at high volumes and carries a lower risk of visible rippling. Saline remains an option for select patients based on individual anatomy and preference.
How long is recovery after XL breast augmentation?
Most patients need three to five days of rest before returning to light daily activity, with a gradual return to exercise over four to six weeks. XL implants may cause slightly more initial tightness due to added weight.
Can I combine XL implants with a mommy makeover or tummy tuck?
Yes. Many patients combine XL breast augmentation with a tummy tuck, breast lift, or full mommy makeover in a single surgical plan for a more complete result.
Are 1000cc breast implants safe?
1000cc implants can be safe for appropriately selected patients. Safety depends on your anatomy, tissue support, implant type and surgical plan.
Can XL breast implants cause back or shoulder pain?
They can. The added weight of larger implants may contribute to back, neck or shoulder discomfort.
Can XL implants stretch breast skin?
Yes, larger implants can place more tension on breast skin and supporting tissues, which may contribute to stretching or sagging over time.
Will I need a breast lift after XL implants?
Not always. Patients with significant sagging or excess skin may benefit from a breast lift along with augmentation.
Are silicone or saline implants better for XL augmentation?
Neither is universally better. The right choice depends on your anatomy, goals, implant size and your surgeon’s recommendation.
How long do XL breast implants last?
Breast implants are not lifetime devices. They can last many years, but replacement or removal may eventually be needed.
Can I increase implant size later?
In some cases, yes. Increasing implant size later depends on your breast tissue, skin elasticity, existing implant pocket and overall anatomy.

