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8851 Center Drive, Suite 300, San Diego View Location

XL Breast Implants

Having Exotic Taste & Living a Colorful Life Means Wanting Something a Little Extra…

If you’re interested in large breast implants, locating a reputable and experienced plastic surgeon with impeccable skill and an understanding of how a large breast augmentation should be performed is of the utmost importance.

At Pousti Plastic Surgery in La Jolla and San Diego, we believe your health, well being, and most importantly, your safety should never be compromised when choosing big breast implants. No matter where you decide to have your large breast augmentation, make sure your surgeon has extensive experience with large breast implants and that your safety and comfort are your surgeon’s primary concern.

Dr. Pousti has considerable experience with large breast augmentation surgeries. Many of our patients who select large breast implants have already undergone successful implant surgeries of 500 cc or less, then decide they would like to increase their breast size to a larger degree. Whether this is your first augmentation surgery and you know you wish to have larger breasts or if you have existing implants and wish to consider larger breasts, Dr. Pousti of Pousti Plastic Surgery can advise you on XL implants.

Before Surgery

Implant Exchange

During Surgery

Implant Exchange

Immediately After Surgery

Extra Large Breast Augmentation

3 Weeks After Surgery

Extra Large Breast Augmentation

Because Dr. Pousti is a recognized expert both nationally and worldwide in large breast augmentation, many patients fly from around the country and even from all over the world to have him perform surgery. If you are from outside the San Diego and Southern California area, please read about how patients fly in for surgery to learn more about our out-of-town accommodations and scheduling information.

If you would like more information or to schedule a consultation, please call our offices at (619) 466-8851.

Large Breast Augmentation Procedure

XL Breast Augmentation

This is an actual patient of Dr. Pousti

San Diego Breast Enhancement

“My new breasts look PHENOMENAL and I now have the self confidence that I have
the beautiful breasts that I’ve always wanted”

The surgical procedure of large breast implant surgery takes about two hours. In specific cases, certain patients may need to have multiple surgeries so that the breast tissue is given the opportunity to expand and so the breast can support the increased size of the large breast implant. During your consultation at our San Diego office and after a thorough examination, Dr. Pousti will discuss every detail of your large breast augmentation, including the exact size and type of big breast implants he will use and their relative advantages. Large breast augmentations are performed on an outpatient basis at our surgical center in San Diego under general anesthesia.

Extra Large Breast Augmentation

This is an actual patient of Dr. Pousti

What to Expect After a Large Breast Augmentation

Large breast augmentations require some extra care with regards to recovery. Bed rest, along with plenty of fluids, is necessary after surgery. Your chest will be sore. When big breast implants are placed under the muscle, there is additional soreness. Dr. Pousti will prescribe appropriate pain management medications. Take your medication regularly and keep your office visits. Usually after a week, you will begin to feel back to normal.

Large Breast Augmentation

This is an actual patient of Dr. Pousti

A brassiere and bandeau will be fitted for you during your first week of recovery. These will need to be worn for a month. You will not be able to shower until your sutures are removed. Initially, large breast implants will appear to be slightly higher than normal and your breasts will be swollen. Over time, the big breast implants will descend to a more natural position.

Recommended Scar Treatment

Breast Augmentation San Diego

bioCorneum HC is the first and only FDA-Accepted silicone scar treatment with a steroid, and should be applied twice a day, in the morning and evening.

Within minutes, the cream dries into a thin, waterproof, breatheable sheet that will lock in all of the necessary moisture, while keeping out the chemical, microbial and physical invasion of the scar. bioCorneum HC is available at Pousti Plastic Surgery as a perfect scar treatment solution to your plastic surgery procedure!

“When I met Dr. Pousti for my pre op the day before surgery I instantly knew I had made the right decision to have my surgery performed by him. He is such a skilled, caring and kind person.”

Patient Testimonials:

A few years ago I came to Pousti with an extreme complication from my breast implants.  I had already been through two surgeries in Seattle and was emotionally at the end of my rope. I was without hope that I would ever look or feel like anything other than malformed again in my life.  Dr. Pousit was amazing, he researched on ways to possibly fix the specific problem that was occurring in my right breast.  After the surgery I was so grateful for my results. I felt normal again, I felt beautiful again.  I was able to re start my previously put-on-hold life, and became a successful bikini model in LA for television and Film!  I also met my husband during this time, and we now live in Alaska! My life is truly an adventure. I feel that the effort and caring doctor Pousti showed in my extreme case literally changed the course of my life and I will forever be grateful for that, I most definitely plan to be a patient of Dr. Pousti’s in the future.”

“Hi my name is Jenny and if you gotten this far on Dr. Pousti’s web well you are heading in the right direction! You have obviously gone through Dr. Pousti’s bio., credentials and all the wonderful procedures he personally performs! I am writing my personal experience to share with you in hopes you make an educated and personal decision for you and only you! I am a 35 year old mommy of 4 wonderful children and married to a wonderful man! I had complete and full support from husband but ultimately my decision was mine, I was just fortunate to have my man stand by me! When I was 18 year old, I always knew I’d get my boobies done at some point in my life! Timing was everything and that meant making an educated decision! I had my first pair of boobies done about 6 years ago,around the age of 29. I knew I wanted large breasts because mother nature forgot me in that department! haha!! My first experience was a great one! I had an A size bra but went up to a full C. I had a 475cc bag put in and filled to 510cc. About 2 months later I went in and had them filled up to 625cc. Thia now put me up to a D cup!! Wow!! I loved them!! Well after 6 years and another baby, gravity took its toll and they(my twins) were ready for a new found glory! This is when I came across Dr. Pousti, I found him on the web and instantly was taken back with excitement! He had so much to offer with his words and all his patients testimonials! I knew I had to get in for a consultation right away! I was on the phone within the day! I can’t explain my first expression of Dr. Pousti because it was simple…HE WAS THE ONE!! I knew he’d be doing my next breast augmentation! He listened very closely and acknowledged every question, concern and desire! I told him I wasn’t messing around and I wanted much bigger boobs this time. I needed more fullness on the top and the side of them! Like I said he gave me every detailed angle I needed to hear! Dr. Pousti was very professional but I he also made me feel I was the most patient of his! I knew he had a gift of passion and detail! Also another thing I may add, which I think is very important, is that I always had to bring my children with me to my appointments and not once did Dr. Pousti feel they were in the way! They were always welcome! As a mom that scores lots of brownie points! Well I went home totally excited because I knew within a week I’d be making my appointment with Dr. Pousti. I just wanted to give the low down to my husband! I went back about 2 more times before my appointment to give Dr. Pousti some pictures of my wishes!!! He knew I wanted 800cc minimum because there was a lot of room to fill in those babies! I knew he’d grant my wishes!! Dr. Pousti’s main importance is the patients desires but he also always gives you any additional information you may need to know medically and so forth! Ok so what did I end up with…A GREAT PAIR OF NEW BOOBS!! I LOVE, LOVE THEM!! Dr. Pousti gave me everything I wanted and then some. I decided to stay with saline because that was the best decision for me! When I came out of surgery he told my husband that I was going to be very happy! He was able to put in an 800cc bag and overfilled them to 1000cc.s!! I knew there was a lot of room up there for some nice, big, gorgeous boobs!! The size I have is definitely a personal choice! I have no regrets of any!! My life style hasn’t changed at all! I am able to fully weight train and do cardio just like I did before!! So from my opinion and experience I hope you know you are going to have a wonderful doctor!! Dr. Pousti has a wonderful staff and his knowledge and experience is the most rewarding I have come across!! Thank you Dr. Pousti, staff, Dr. Rose(anesthesiologist) and nurses!! You all ROCK!! Thanks Again!”

“I first found Dr. Pousti in 2001 in my search for a Board Certified Plastic Surgeon. Not only was he Board certified but double board certified. I was interested in a Breast Augmentation and was VERY impressed with his mastering art of Cosmetic Surgery. Every picture that I saw on his website was just beautiful. Once arriving to my initial consultation and meeting Dr. Pousti I knew that he was the surgeon that was to perform my surgery. His staff is first class and helped me with anything and everything I needed. During the consultation he explained the surgery itself in detail and spent a good amount of time with me and answered all of my questions. I never felt like I was rushed or just a number. He really took his time with me and made me feel really comfortable. He is very caring, respectful, compassionate about his work, genuine, has wonderful bedside manners and is just an all around great man. We looked through pictures that I wanted to use as a guide and met with his actual post-op patients that were in the office. I really thought that the patients that shared their wonderful experience with me was very helpful. Before I left his office I knew that I had to schedule my surgery. My surgery went extremely well. Dr. Pousti was with me the whole time through the morning of my surgery. I really felt like he cared and he even took the time the night of my surgery to contact me to make sure that I was doing ok. I was very happy with my results/experience and decided to go larger in 2002 with Saline implants. The 2nd time around was even easier then the 1st. My incisions were near to nothing. I couldn’t ask for a better surgeon to perform surgery on me and that’s why he performed my 3rd!! I am now 3 weeks post-op from a Breast Augmentation with a lift and switched to Silicone implants. After having the larger implants I decided that I wanted a little more conservative size and downsized and switched to silicone. The 3rd time around I can and will say that I still have the up most respect for Dr. Pousti and the gift that he was given. He does amazing work and will continue to do so. I am VERY happy with my results and can’t wait to see the end result. Dr. Pousti does amazing work as it speaks for itself. I have and will continue to refer my friends and family to him. Thanks Dr. Pousti!!!!”

“I’m very happy to submit a glowing recommendation for Dr. Pousti and his team in La Mesa. I found everyone to be consistently pleasant, handling everything with dedication and a smile.”

“I decided to contact Dr. Pousti after number failed attempts to achieve my desired look from a local surgeon. The staff were very knowledgeable and prompt in their responses to me. I was able to book an appointment almost immediately and was reassured about having an out of country medical procedure. My previous surgery had left me with 500 cc implants and I was expecting to upgrade to about 700cc. I was VERY HAPPY when Dr. Pousti suggested going even bigger (which is what i wanted anyways.) He was also able to correct a slight asymmetry  in the breasts.”

“After flying back to Canada, the office still kept in close contact with me for post-operative care. Dr. Pousti has exceeded my expectations in every way. I will be recommending him to family and friends for sure.”

“I first discovered Dr Pousti  in 2009 on a plastic surgery blog regarding XL breast implants…I was never interested in breast implants until I saw his website..I was very amazed with his work especially breast lift and breast reduction.. But I already had a breast lift 8 years ago and didn’t think I needed another..I made several consults with Pousti but always canceled because I felt I didn’t need another lift but wait later for the implants.. Well in 2010 I went to another plastic surgeon for fat grafting to the breast, I thought by this procedure I would save money and wouldn’t have to worrying about a rupture implant nor replacement after a number of years.. I was happy with my results but my breast still lack upper pole fullness of an implant…About a year went by and in 2011 I found that the fat injected turned into dead hard tissue and made my breast look “deformed”.  I finally made up my mind to go with Dr Pousti because I wanted the dead tissue taken out along with a breast lift.. I’m so happy I went with Dr Pousti, my breast look beautiful and youthful.. I can’t stop looking at my breast, its been years since my breast looked this great.. But it doesn’t end here, next year I plan on getting XL breast implants and of course my surgeon will be Dr Pousti … I’m finally getting those stripper boobs I’ve always wanted…”

Click here to learn more about San Diego Cosmetic Surgeon, Dr. Tom Pousti. To schedule your cosmetic surgery consultation in our San Diego office, call (619) 466-8851 or email