Not every patient wants a subtle change — some seek a fuller, more dramatic look. At eSSe Plastic Surgery, we specialize in extra-large (XL) breast implants for women who know their style and are ready for volume that matches their vision. Whether you’re pursuing fuller volume for the first time, sizing up from a previous surgery, or restoring shape after reconstruction, our approach to XL breast implants is grounded in safety and balance.
“XL” typically describes implant volumes that are larger than standard (for many patients, 600 cc and above). The label is not a hard rule; it’s a way to describe fuller projection and cleavage beyond what most people consider “average.”
At eSSe, proportion comes first. Some body types comfortably support higher volumes, while others look and feel best with a moderate implant. The art and science of breast augmentation involves matching implant characteristics to your tissue, ensuring the result looks flattering and well-supported.
Choosing a larger implant size is a personal decision. If a fuller shape feels right for you, our role is to help you explore it thoughtfully, matching options to your anatomy, comfort, and goals without judgment.
XL implants add forward fullness that makes the chest look round and sculpted. From the front and the side, the shape appears more intentional and noticeable.
If your goals change later, established pockets can allow fine-tuning. Small updates may be possible without a major redo.
There are many sizes, profiles, and placement choices to match your goals. The final look can be bold or softly full, depending on what you prefer.
Added upper fullness supports lower or structured necklines. This gives you more freedom to wear styles that once felt hard to fit.
A fuller chest can make the waist look smaller by comparison. The body can appear more balanced between the shoulders, bust, and hips.
At eSSe Plastic Surgery, your plan for XL breast implants is built around proportion, tissue support, and your personal preferences and tastes. In standard augmentation lines, silicone gel implants are available up to 800cc, and the largest expanders are 1000cc. We offer both of these size options for you.
Because higher volumes add weight, we focus on safely expanding or supporting your soft tissue while maintaining shape and blood flow. Most patients follow one of two pathways:
Before your procedure, you’ll meet with Dr. Tracey H. Stokes to discuss goals, review visuals, and take precise measurements such as base width, nipple-to-fold distance, and tissue thickness. Together you’ll select the implant type (silicone or saline), profile (high or ultra-high), placement plane (usually dual-plane or subglandular), and an incision location (most often the inframammary fold).
If your anatomy would benefit from added support, we may plan an internal “bra” or fold reinforcement and, when helpful, small-volume fat grafting for a smoother transition between the implant and your natural tissue. If your plan involves a tissue expander, expect a brief initial surgery to place the expander, followed by gradual fills every one to two weeks until you reach your target size.
Your surgery takes place in our accredited operating suite with a board-certified anesthesia provider. After you are comfortably asleep, Dr. Tracey H. Stokes makes a small incision (most often in the breast fold) for a discreet scar. She creates the pocket in the planned plane (usually dual-plane or, in select cases, subglandular) and carefully defines the fold and inner borders.
If your plan calls for extra support, she places internal stitches or a resorbable “internal bra” to help the breast hold its shape over time. Temporary sizers are used to confirm symmetry and projection, and then the final implant is placed with a no-touch technique.
If your path includes a tissue expander, the expander is positioned, partially filled, and secured; a small drain may be used briefly based on your anatomy. All incisions are closed in layers, dressings are applied, and you are fitted with a supportive surgical bra before moving to recovery.
Our team monitors you as you wake up, reviews your instructions, and makes sure you’re comfortable. Most patients go home the same day with a direct number to reach us and a clear plan for the first 24 to 48 hours.
You’ll go home the same day in a supportive surgical bra with clear instructions. Expect tightness and swelling for several days. To manage these, rest with your upper body slightly elevated, walk in short intervals, keep incisions dry, and avoid lifting over 10 pounds. Most desk-based patients return to light work in four to seven days, and you may drive once you’re off prescription pain medicine and can move your shoulders comfortably. If your plan includes a tissue expander, brief in-office fills every one to two weeks create a gentle stretch before the shorter exchange surgery.
Over weeks 4–6, implants soften and settle (“drop and fluff”); add low-impact cardio and lower-body exercise as cleared, but hold chest workouts until approved. Begin silicone scar care once incisions are closed, protect scars from the sun, and transition from the surgical bra to a supportive (then underwire) bra as advised.
Long term, maintain a stable weight, use support for exercise, attend follow-ups, and plan periodic imaging for silicone implants starting around years 5–6. Contact us promptly if you experience any of the following symptoms: fever, spreading redness, sudden one-sided swelling, drainage with odor, shortness of breath, or calf pain.
Once your implants have settled, maintaining your results comes down to support and smart follow-up. Wearing well-fitted, supportive bras, especially during exercise, is key to protecting the shape and preventing downward stretch over time. We’ll help you find options that work with your lifestyle while preserving your implant position and cleavage.
Long-term maintenance also includes keeping a stable weight, attending routine follow-up appointments, and following imaging guidelines for silicone implants. The FDA recommends ultrasound or MRI starting five to six years after surgery, then every two to three years to monitor for silent rupture. If your goals or body change over time, we can explore revision options or sizing adjustments through a personalized plan. At eSSe, your care doesn’t end with surgery. We’re here to support you for the long haul.
You may be a good candidate if you:
During your consultation, we’ll also discuss whether combining your augmentation with a breast lift or areolar repositioning will enhance balance, particularly if the nipple sits low relative to the fold.
Because XL breast implantation is tailored, pricing varies with implant type, operating time, whether a lift or revision is included, and whether internal support or fat grafting is added. After your consultation, you’ll receive a transparent, all-inclusive quote that covers surgeon’s fees, anesthesia, facility time, garments, and follow-up.
XL implants and revision cases are often at the higher end of the breast augmentation fee range due to implant cost and surgical complexity. We offer financing options through trusted lenders to make your procedure attainable.
Implants are long-lasting devices, but they are not meant to last forever. There is no fixed “expiration date”; they can remain in place as long as they look and feel right and your checkups are normal.
Longevity depends more on tissue support, lifestyle, and life changes than on size alone. At eSSe, we plan routine follow-ups and talk about revision only if shape, comfort, or imaging suggests it, or if you simply want a style update years down the road.
Many patients describe a soft, natural feel once swelling subsides and the implants settle. Choosing cohesive silicone gel, the right profile, and the best pocket position helps the breast move with you; when tissue is thin, small-volume fat grafting can soften edges.
The early weeks can feel firm and tight, then the breasts relax and “drop” into place. Because XL devices are heavier, good bra support is essential for day-to-day comfort. Your eSSe team will guide you on fit and wear
Experience, trust, compassion, and confidence define the eSSe experience. Dr. Tracey H. Stokes leads a warm, woman-to-woman, judgment-free consultation where you’re empowered to make informed choices. We tailor proportion-first breast augmentation plans — implant type, profile, pocket plane, and support — so your XL breast implants look intentional and well-supported.
Where science, art, and technology meet — that’s the eSSence of eSSe. In our accredited, state-of-the-art Fort Lauderdale facility, Dr. Stokes applies reconstruction expertise (tissue expanders and implant-based cases) to complex breast surgery, breast implantation, and breast revision with precise pocket control and optional internal-bra support. You’re cared for by hand-picked RNs and licensed estheticians (20+ years’ experience) who guide recovery, garment fit, and long-term maintenance. We serve Fort Lauderdale, Boca Raton, and Miami.
XL breast augmentation at eSSe Plastic Surgery is planned around your proportions, lifestyle, and comfort, so the result looks thoughtful and beautiful. From first-time breast augmentation to breast revision or tailored breast implantation after prior breast surgery, our team guides you through sizing, procedure options, recovery, and long-term support.We proudly serve Fort Lauderdale, Boca Raton, Hollywood, Aventura, and Miami. Call us at (954) 800-2163 or contact us online to schedule your personalized consultation and move forward with confidence.