Update: Now I've also modified a Model X / S seat and learned a great deal.
I've been modifying Tesla seats for a year and a half now. But up until now it was all Model 3 / Y.
The newer Tesla seat bottoms all have serious problems for a larger person.
Tesla started to use the same seat frame on all models around 2017. The problem is that the seat frame metal is just too narrow at the rear. If you have a larger frame, wider hip bones than smaller humans, you will find pain on longer trips. The earlier Tesla Model S / X on the newer 2017-2021 frames had a wire loop on the outside of the frame added. The Model 3 / Y didn't have that wire loop attached but uses the same metal frame. But more recently, 2022 and up, Tesla moved the metal wire loop frame (again this applies to Model X / S only) to inside the foam, instead of attached to the metal frame on the outside of the frame and outside of the foam. This is a disaster. They effectively narrowed the seat even further, within the same metal frame. I estimated that that change reduced the width of the rear seating room for the back of the hips and butt as much as 3 inches! For larger framed person the hips will press into that more narrow width metal frame. Making this seat design in the Model X and presumably S, actually worse than the Model 3 / Y for a larger person!
I'm rebuilding a newer 22 Model X seat right now that had the metal frame built inside the foam base. I modify a 2017-2020 Model S seat foam, without the internal metal frame, to fit inside the 2022 and up seat faux leather cover. I also add some dense foam to the bottom of the OEM cushion. This way you get the wider space you need without that wire frame inside. And you get more foam for more suspension.
I've made additional changes to the Model 3 / Y seat that might also apply to the Model S / X.
I removed the OEM lumbar. It's simply too little and too low. It actually shoves the top of the hip bone forward, making the back in the exact wrong position to protect the lower spine. Then I add a piece of foam horizontally higher, where my lumbar wants the support. I added a smaller foam vertically to prevent my back from “caving into” the upper. I also bent the headrest backwards.
The total effect of all my changes are a good posture for the bigger person. More seat suspension to protect the back from road bumps and jolts. Good lumbar support where it should be. Good upper back positioning. Good head positioning on top of the spine and not bent forwards. But the biggest change is no more pain from pressing into the metal, be it the metal inside the foam or the actual metal seat base that the foam sets down low inside of.