
Motiva® is one of the implant options available at Seaport Plastic Surgery. Dr. McLeod will discuss the advantages, limitations, and risks of Motiva alongside other FDA-approved implant options to help you choose the best fit for your goals.
Choosing the right implant involves far more than selecting a size. Dr. McLeod performs a comprehensive evaluation of your anatomy, including your chest width, breast base diameter, existing breast volume, soft tissue, skin quality, nipple position, inframammary fold, asymmetry, degree of breast ptosis, and desired upper-pole fullness. These measurements guide the selection of your implant profile, dimensions, and volume to create balanced, natural-looking results.
When clinically appropriate, Dr. McLeod also utilizes subfascial implant placement, helping tailor the surgical approach to each patient's anatomy and aesthetic goals.
Both use Motiva's SmoothSilk surface, but they're built for different aesthetic goals:
Neither shape is inherently "better" - the right choice depends on your existing breast tissue, chest wall anatomy, and the look you're going for, which is exactly what a consultation is for.
There is no single "best" Motiva implant for a natural look. What reads as natural depends on your anatomy - chest width, breast footprint, tissue thickness and elasticity, nipple position - as well as your personal goals. Dr. McLeod selects implant style, projection, and placement based on your individual measurements and the result you're after, not a onesize-fits-all recommendation.
Cup size and cc volume are the least reliable starting points. The dimension that matters most is breast base width - the measurement across your existing breast footprint - because an implant wider or narrower than your natural base width can create bottoming out, rippling, or an unnatural appearance no matter how "on trend" the cc count is. Tissue thickness, skin elasticity, and chest wall shape further narrow the appropriate range. In consultation, Dr. McLeod measures your anatomy directly and uses sizers to translate those measurements into a size range that fits your frame, rather than starting froma target cup size.
Profile refers to how far the implant projects off the chest wall relative to its base width: Demi profile implants project less for a given base width, producing a softer, more gradual slope and a fuller, more tapered look that blends closely with existing tissue. Full profile implants project more for the same base width, creating more forward fullness and a rounder, more defined upper pole. Dr. McLeod has used both Demi and Full profile Motiva implants, and the choice comes down to how much projection your frame can support without exceeding a natural base width, plus the degree of upper-pole fullness you want.
Implant position is individualized. Dr. McLeod commonly uses a subfascial approach when appropriate - placing the implant above the pectoralis muscle, beneath the breast's own fascial layer - which is designed to preserve muscle function and the breast's natural structural anatomy rather than cutting or displacing it. That said, the optimal plane depends
on your anatomy, existing soft-tissue coverage, implant selection, and your goals, and submuscular or dual-plane placement may be the better choice for some patients. This is discussed and determined during consultation. This preservation-minded philosophy - working with the breast's natural ligamentous support and leaving the muscle intact - is the same principle behind tissue-preserving techniques like Motiva Preservé (see below), and it's central to how Dr. McLeod approaches subfascial breast augmentation.
Every recovery is individual, but for patients undergoing Dr. McLeod's subfascial Motiva technique, these are typical estimates:
These timeframes are estimates - your surgeon will tailor guidance to your specific procedure and healing at each follow-up.
Motiva Preservé is the tissue-preservation protocol Dr. McLeod uses for eligible patients, built around a simple idea: work with the breast's natural anatomy instead of against it.
The core elements:
The intended benefits are less post-operative discomfort (since the muscle is left completely intact), no animation deformity, a faster return to normal activity, and a soft, natural-feeling result.
Pricing for Motiva breast augmentation at Seaport Plastic Surgery is customized to each patient's anatomy rather than quoted as a flat rate. Cost depends on factors like implant style and volume, whether a lift or asymmetry correction is needed alongside augmentation, surgical complexity, and anesthesia. Because these anatomic variables meaningfully change
both the surgical plan and the price, Dr. McLeod provides an exact quote after your consultation and anatomic evaluation, once the appropriate implant and technique for your body have been determined. Financing is available through Cherry and CareCredit.
Yes, in many cases. Breast asymmetry isn't just a volume difference - it can involve differences in breast footprint, nipple position, inframammary fold (IMF) position, and softtissue envelope between the two sides. Correcting it often means using different implant sizes or styles for each breast, adjusting the IMF surgically, or combining implants with a lift or fat grafting on one side. A thorough evaluation of both breasts individually - not just a combined "cup size" goal - is central to planning an asymmetry correction.
Neither manufacturer is universally "better" - they're different tools suited to different anatomy and goals. Motiva's SmoothSilk surface and Ergonomix gel behavior are engineered for a specific feel and movement profile, while Natrelle offers its own long track record and range of shapes, profiles, and gel cohesivities. Dr. McLeod selects a manufacturer and implant line based on your chest wall dimensions, tissue quality, desired shape, and the trade-offs each device offers for your specific case - not a blanket brand preference.
Breast implants are not lifetime devices, but a certain number of years passing isn't, by itself, a reason to replace them. Most patients don't need routine replacement on a fixed schedule. Instead, Dr. McLeod recommends periodic monitoring - clinical exams and, per FDA guidance, imaging at intervals to screen for silent rupture - and evaluates for revision based on findings like rupture, capsular contracture, malposition, or a change in how the breast looks or feels, rather than age of the implant alone.
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