Having exotic taste and living a colorful life sometimes means wanting a little extra. When it comes to large breast implants, finding a reputable plastic surgeon with impeccable skill and an understanding of how a large breast augmentation should be performed is of the utmost importance. At Prime Plastic Surgery, 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 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 augmentations. Many of the women who choose large breast implants have already successfully undergone a breast augmentation of 500 cc or less, and then decide that they would like to increase their breast size further. Whether this will be your first breast augmentation, and you know you want to start with large breast implants, or if you currently have implants and want to consider big breast implants, Dr. Pousti can advise you about various implants sizes from 625 cc to 1000 cc and every size in between.

Before Surgery

During Surgery

Immediately After Surgery

3 Weeks After Surgery

Since Dr. Pousti is an expert in large breast augmentation, many women from around the country choose to fly to San Diego to obtain his services. If you are not from the La Jolla or San Diego area, please visit Fly in for Surgery to learn more about our out-of-town accommodations and scheduling information.

What to Expect After a Large Breast Augmentation

Large breast augmentation requires some extra care in regards to recovery. Bed rest, along with plenty of fluids, is necessary after surgery. When larger breast implants are placed under the muscle, your chest will feel tight and you will have some discomfort. Dr. Pousti will prescribe appropriate pain management medications. Take your medication regularly and keep your office visits. In general, a week after surgery you will begin to feel back to normal.

You will awake from surgery with a surgical bra in place, this bra will need to be worn for 4 weeks after surgery. Steri strips that cover your incision will be removed 4-6 weeks post op. We ask that you keep these tapes clean and dry for as long as possible.  You will not be able to shower until Dr. Pousti gives you the “green light”. Initially, breast implants will appear to be slightly higher than normal and your breasts will be swollen. Over time, the breast implants will descend to a more natural position.

Breast Augmentation Downward exercise

Downward Exercise Massage Video

Breast Implant Settling

Breast Implants Settling After Surgery

One of the most frequent questions from patients is regarding breast implant settling. Patients are interested in understanding implant settling expectations immediately post-op, and then over time. Click on the button below to view two cases over time what these patient’s implants looked like immediately post-op, and then how they settled over time.

2 Years Post-Op & Still Loving Dr. Pousti’s Work

Transgender Patient – Extra Large Breast Implants 3 Years Post-Op

Transgender Plastic Surgery Testimonial Update - Extra Large Breast Augmentation - 2080cc

Patient Testimonials:

Patient Testimonial:
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,

Patient Testimonial:

Implant Exchange, Silicone Gel Implants, Breast Lift:

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!!!!

Patient Testimonial:

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.


Patient Testimonial:

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.

Patient Picture:

Patient Testimonial:

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…


Rancho Cucamonga, CA

Prime Plastic Surgery consists of the top board-certified surgeons in the country providing the highest caliber of patient care. We offer cosmetic and reconstructive procedures, both surgical and non-surgical, to help patients achieve truly life-changing results. Our surgeons are members of several prestigious organizations, including:

  • American Society of Plastic Surgeons
  • American Society for Aesthetic Plastic Surgery
  • International Society of Aesthetic Plastic Surgery
  • American Association for Accreditation of Ambulatory Surgery Facilities

Discover what the Prime difference can do for you. Request a consultation online or call our practice at (858) 285-4667.

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