Quote of the surgeon website:
After much research, this young lady chose Dr. Edward Domanskis to perform her XL Breast Augmentation. Dr. Domanskis' experience and expertise gave her the confidence she was looking for in a Plastic Surgeon who specializes in this niche surgery. Her initial surgery was in April 2015, beginning with a 34B Cup, she has gradually expanded to a 34O Cup and is still expanding, which is one of the benefits of utilizing the tissue expander.
Is it impressive? In my opinion definitely yes!
Is it an enhancement or improvement? In my opinion definitely no!
... but that's just my own opinion