Extra large breast implants – why you may not be up to it

Extra large breast implants – what you need to know

The desire for extra large breast implants can be very tempting among females across all age groups. This desire to look attractive and to be able to move around with beautiful curves often leads to an impulsive decision to go in for extra large breast implants. Now, there is no harm in going for extra large breast implants, but you need to do the necessary homework and have proper consultations with the right cosmetic surgeons before taking the final decision to go under the knife.

Apart from understanding whether you are the right candidate for extra large breast implants, you also need to take into account the cosmetic surgery procedures and also the time required for recovery from breast augmentation surgery.

More importantly, its critical to understand the risk to be expected in the case of any breast augmentation surgery and more so in the case of extra large breast implants.  

Extra large breast implants

Extra large breast implants – list of complications

The fda.gov site mentions the following complications

Implant Complications

The following is a list of local complications and adverse outcomes that occur in at least 1 percent of breast implant patients at any time. You may need non-surgical treatments or additional surgeries to treat any of these, and you should discuss any complication and necessary treatment with your doctor. These complications are listed alphabetically, not in order of how often they occur. 



Asymmetry The breasts are uneven in appearance in terms of size, shape or breast level.
Breast Pain Pain in the nipple or breast area
Breast Tissue Atrophy Thinning and shrinking of the skin
Calcification/Calcium Deposits Hard lumps under the skin around the implant.  These can be mistaken for cancer during mammography, resulting in additional surgery.
Capsular Contracture Tightening of the tissue capsule around an implant, resulting in firmness or hardening of the breast and squeezing of the implant if severe. 
Chest Wall Deformity Chest wall or underlying rib cage appears deformed. 
Deflation Leakage of the saltwater (saline) solution from a saline-filled breast implant, often due to a valve leak or a tear or cut in the implant shell (rupture), with partial or complete collapse of the implant.
Delayed Wound Healing Incision site fails to heal normally or takes longer to heal.
Extrusion The skin breaks down and the implant appears through the skin.
Hematoma Collection of blood near the surgical site.   May cause swelling, bruising and pain.  Hematomas usually occur soon after surgery, but can occur any time there is injury to the breast.  The body may absorb small hematomas, but large ones may require medical intervention, such as surgical draining. 
Iatrogenic Injury/Damage Injury or damage to tissue or implant as a result of implant surgery        
Infection, including Toxic Shock Syndrome Occurs when wounds are contaminated with microorganisms, such as bacteria or fungi.  Most infections resulting from surgery appear within a few days to a week, but infection is possible any time after surgery.  If an infection does not respond to antibiotics, the implant may need to be removed
Inflammation/Irritation Response by the body to an infection or injury.  Demonstrated by redness, swelling, warmth, pain and or/loss of function.
Lymphedema or Lymphadenopathy Swollen or enlarged lymph nodes
Malposition/Displacement The implant is not in the correct position in the breast.  This can happen during surgery or afterwards if the implant moves or shifts from its original location.  Shifting can be caused by factors such as gravity, trauma or capsular contracture.
Necrosis Dead skin or tissue around the breast.  Necrosis can be caused by infection, use of steroids in the surgical breast pocket, smoking, chemotherapy/radiation, and excessive heat or cold therapy.
Nipple/Breast Sensation Changes An increase or decrease in the feeling in the nipple and/or breast.  Can vary in degree and may be temporary or permanent.  May affect sexual response or breast feeding.
Palpability The implant can be felt through the skin.
Ptosis Breast sagging that is usually the result of normal aging, pregnancy or weight loss.
Redness/Bruising Bleeding at the time of surgery can cause the skin to change color. This is an expected symptom due to surgery, and is likely temporary.
Rupture A tear or hole in the implant’s outer shell. 
Seroma Collection of fluid around the implant.  May cause swelling, pain and bruising.  The body may absorb small seromas.  Large ones will require a surgical drain.
Skin Rash A rash on or around the breast.
Unsatisfactory Style/Size Patient or doctor is not satisfied with the overall look based on the style or size of the implant used.
Visibility The implant can be seen through the skin.
Wrinkling/Rippling Wrinkling of the implant that can be felt or seen through the skin.

A complete list of complications, as well as information on rates for those complications can be found in the patient labeling for the approved breast implants, Labeling for Approved Breast Implants.


Extra Large Breast Implants –  Conclusion

In the case of extra large breast implants, there is a real risk of the patient being afflicted by all of the above mentioned complications. In addition, there are also some other things you need to be aware of, especially about leading a normal life after breast implants. Hence, the most practical way to proceed is be to ask for breast implant testimonials or have detailed consultations with extra large breast implants surgeons or doctors to ensure your physical safety and well-being after the completion of the procedure.