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Motiva implants are FDA-approved silicone gel breast implants engineered with proprietary technology designed to minimize complications and maximize patient satisfaction. Unlike traditional implants, Motiva implants feature multiple safety innovations that set them apart in the competitive landscape of breast augmentation options.

What Are Motiva Breast Implants?

Motiva breast implants are next-generation silicone gel implants developed by Establishment Labs, a company specializing in advanced breast implant technology. These implants received FDA approval in 2024, though they have been successfully used internationally since 2010, with over 1 million implants placed worldwide.1

The implants are constructed with a cohesive silicone gel core surrounded by a proprietary shell designed to provide superior safety, durability, and aesthetic outcomes. Each Motiva implant is individually serialized and tracked through a digital platform, allowing for complete transparency and long-term monitoring of your implants.

Motiva implants are available in multiple shapes and projection options, allowing Dr. Esmailian to customize your augmentation based on your body proportions, aesthetic goals, and desired level of enhancement.

Motiva Breast Implant Technology and Features

Motiva implants incorporate several proprietary technologies that distinguish them from other premium breast implant options:

SmoothSilk Surface Technology

The SmoothSilk surface is a proprietary shell coating designed to reduce friction between the implant and surrounding breast tissue. Research demonstrates that this smooth surface significantly reduces the risk of capsular contracture, a complication where scar tissue tightens around the implant. Studies comparing SmoothSilk to traditional textured implants show substantial reduction in capsular contracture rates.2

BluSeal Technology

BluSeal is an advanced sealing mechanism that creates a secure, multi-layered barrier within the implant. This technology is designed to prevent gel bleed, a process where microscopic amounts of silicone can migrate from the implant into surrounding tissue. The BluSeal barrier provides an additional layer of safety and implant integrity, contributing to the long-term durability of Motiva implants.

Ergonomix2 Design

The Ergonomix2 shape is engineered to shift with your body's natural movement. When standing, the implant assumes a teardrop shape that mimics natural breast anatomy. When lying down, the implant becomes more rounded, providing a fuller appearance in different positions. This dynamic design creates a more natural appearance across various body positions and clothing styles.

TrueMonobloc Construction

Motiva implants feature a single-piece construction without internal seams or weak points. This monolithic design enhances structural integrity and reduces the risk of implant rupture or failure over time compared to multi-piece implant designs.

Inside Safety Technology

Each Motiva implant includes a unique identification code and is registered in a digital tracking system. This allows for complete transparency regarding your implant's specifications, manufacturing date, and serial number. In the unlikely event of a recall or safety concern, you can be immediately identified and contacted.

Before & After Breast Augmentation

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Why Choose Dr. Esmailian for Motiva Breast Implants

Dr. Farbod Esmailian is a board-certified plastic surgeon with extensive training in advanced breast augmentation techniques. His credentials include board certification in Plastic Surgery, fellowship status with the American College of Surgeons (FACS), and active membership in the American Society of Plastic Surgeons (ASPS).

With over 26 years of surgical experience, Dr. Esmailian has developed a refined aesthetic approach to breast augmentation that prioritizes natural results and patient safety. He is recognized as a RealSelf Top 100 plastic surgeon, with a 5.0-star rating on RealSelf based on patient reviews and before-and-after results.

Dr. Esmailian's philosophy centers on understanding each patient's unique anatomy and aesthetic vision. Rather than applying a one-size-fits-all approach, he carefully selects implant size, shape, and placement to complement your natural proportions and achieve results that look and feel authentically yours.

"The art of breast augmentation lies not in making breasts larger, but in creating harmony between the implant and the patient's body," Dr. Esmailian explains. "Every patient deserves a customized approach that respects their anatomy and enhances their confidence."

His commitment to patient education means you'll understand every aspect of your procedure, from implant selection through recovery and long-term care. Dr. Esmailian takes time during consultations to address concerns, review before-and-after galleries, and establish realistic expectations for your results.

Motiva Breast Implant Options and Shapes

Dr. Esmailian offers multiple Motiva implant configurations to match your aesthetic goals and body type:

Ergonomix Implants

The Ergonomix shape is designed for patients seeking a natural teardrop appearance. This anatomical shape provides fullness in the upper pole of the breast while tapering toward the bottom, mimicking the natural slope of breast tissue. Ergonomix implants are ideal for patients with moderate to high skin elasticity and those seeking a subtle, proportionate enhancement.

Round Implants

Round Motiva implants provide maximum fullness and projection, creating a more dramatic enhancement. These implants are excellent for patients with lower skin elasticity or those desiring a more pronounced augmentation. Round implants also provide consistent fullness regardless of body position.

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Projection Options

Motiva implants are available in multiple projection profiles, ranging from moderate to extra-high projection. Motiva uses terms such as Mini, Demi, Full and Corse, which correspond to low profile, moderate profile, high profile and extra high profile respectively. Projection refers to how far the implant extends from the chest wall. Dr. Esmailian will recommend the appropriate projection based on your chest width, desired cup size increase, and aesthetic preferences.

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Benefits of Motiva Breast Implants

Patients choosing Motiva implants experience several distinct advantages:

  • Natural look and feel due to cohesive silicone gel and anatomical shaping options.
  • Reduced risk of capsular contracture through SmoothSilk surface technology.
  • Enhanced safety features including BluSeal and TrueMonobloc construction.
  • Long-lasting results, with implants typically lasting 15-20 years or longer.
  • Minimal rippling or visible implant edges, even in thin-skinned patients.
  • Digital tracking and identification for complete transparency.
  • Proven track record with over 1 million implants placed internationally since 2010.

Are You a Good Candidate for Motiva Breast Implants?

Ideal candidates for Motiva breast augmentation typically share the following characteristics:

  • Good overall health with no contraindications to surgery
  • Realistic expectations about surgical outcomes and recovery
  • Desire for breast enhancement, increased symmetry, or volume restoration
  • Adequate breast tissue and skin elasticity to support implants
  • Non-smoker or willing to quit smoking before and after surgery
  • Stable weight and commitment to maintaining results
  • Psychological readiness for cosmetic surgery

During your consultation, Dr. Esmailian will evaluate your anatomy, discuss your goals, and determine whether Motiva implants are the right choice for you. He may recommend alternative options if your anatomy or goals would be better served by different implant types or complementary procedures.

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Your Motiva Breast Augmentation Experience

Consultation and Planning

Your journey begins with a comprehensive consultation where Dr. Esmailian will listen to your aesthetic goals and evaluate your anatomy. He uses advanced imaging technology to show you potential results and help you visualize your post-operative appearance. This collaborative approach ensures you and Dr. Esmailian are aligned on your desired outcome before surgery.

During this visit, you'll discuss implant options, incision placement, and any concerns about recovery or results. Dr. Esmailian will review your medical history, current medications, and any previous surgeries to ensure you're a suitable candidate.

Incision Options

Dr. Esmailian offers multiple incision techniques, each with distinct advantages:

Inframammary Incision: Placed in the natural crease beneath the breast, this incision provides excellent visibility and control during implant placement. It is the most commonly used approach and typically results in the least visible scarring due to the natural fold concealing the incision.

Periareolar Incision: Placed around the areola (the darker tissue surrounding the nipple), this incision can be ideal for patients needing concurrent nipple repositioning or those with naturally darker areolas that camouflage scarring.

Transaxillary Incision: Placed in the armpit, this incision avoids any scarring on the breast itself. However, it provides less direct visualization during implant placement and is typically reserved for specific patient scenarios.

Dr. Esmailian will recommend the most appropriate incision based on your anatomy, implant choice, and aesthetic goals.

The Surgical Procedure

Motiva breast augmentation is typically performed under general anesthesia and takes 1-2 hours to complete. Dr. Esmailian creates a pocket either beneath the pectoral muscle (submuscular placement) or directly behind the breast tissue (subglandular placement). The choice depends on your anatomy, implant size, and desired aesthetic outcome.

Submuscular or Dual Plane placement provides additional tissue coverage, reducing the visibility of implant edges and rippling, particularly in thin-skinned patients. Subglandular placement may be appropriate for patients with adequate breast tissue and those seeking faster recovery.

Once the pocket is created, Dr. Esmailian carefully positions your Motiva implant, ensuring symmetry and optimal aesthetic positioning. The incision is then closed with absorbable sutures and skin adhesive, minimizing visible scarring.

Recovery and Aftercare

Recovery from Motiva breast augmentation follows a predictable timeline:

Days 1-3: You'll experience swelling, bruising, and mild to moderate discomfort. Pain is typically well-controlled with prescribed medications. You should rest and avoid strenuous activity.

Week 1: Swelling and bruising begin to subside. Most patients can return to light activities and desk work. You'll wear a supportive surgical bra to minimize movement and support healing.

Weeks 2-4: Continued improvement in swelling and bruising. You can gradually resume normal activities, though heavy lifting and strenuous exercise should be avoided.

Weeks 4-6: Most patients can return to full activity, including exercise and sports. Residual swelling continues to decrease.

3-6 Months: Final results emerge as all swelling resolves and implants settle into their permanent position. Scars continue to fade and mature over this period.

Individual recovery varies based on implant placement, incision type, and personal healing factors.

Motiva Breast Implant Longevity and Replacement

One of the most common questions patients ask concerns how long Motiva implants last. According to the FDA, breast implants are not considered lifetime devices, though many implants remain intact and functional for 15-20 years or longer.3

Motiva implants are engineered for durability and longevity. The advanced construction, including TrueMonobloc design and BluSeal technology, is intended to minimize rupture risk and extend implant lifespan compared to traditional implants.

However, implants may eventually require replacement due to:

  • Rupture or deflation (rare with modern implants)
  • Capsular contracture (tightening of scar tissue around the implant)
  • Changes in aesthetic preferences or body proportions
  • Implant displacement or malposition
  • Patient desire for size adjustment

If replacement becomes necessary, Dr. Esmailian can remove and replace your implants during a revision procedure. Many patients choose this opportunity to adjust implant size, shape, or placement based on how their body has changed over time.

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Cost of Motiva Breast Augmentation

The cost of Motiva breast augmentation varies based on several factors:

  • Surgeon's experience and credentials
  • Implant type and size
  • Incision placement and technique
  • Facility fees and anesthesia costs
  • Geographic location
  • Complementary procedures (fat transfer, breast lift, etc.)

During your consultation, Dr. Esmailian will provide a detailed cost estimate including all surgical fees, facility charges, and anesthesia costs. Financing options are available to make your procedure more accessible.

Patient Testimonials

I recently had a breast augmentation performed by Dr Esmailian, and I couldn't be happier with the results. I was super nervous and Dr Esmailian and his team helped me through the whole process. Dr Esmailian is a professional and highly skilled! I am so thrilled with the results.

K.B., Google Review

I had an amazing experience with Dr. Esmalian and his entire team for my breast augmentation. From the very first consultation, Dr. Esmalian made me feel completely comfortable, answering all my questions with patience and expertise. He took the time to understand my goals and provided professional recommendations that suited my body type perfectly.
His staff was incredibly supportive, ensuring I felt at ease every step of the way. The surgery itself went smoothly, and my recovery process was much easier than I anticipated.
I couldn’t be happier with my result. Dr. Esmalian’s skill and attention to detail truly exceeded my expectations.

L.K.

Dr. Esmailian and his staff are the absolute best! I am 2.5 months post-op from a breast augmentation, and I am thrilled with my results! I really can't say enough good things about him and his team. If you are thinking about plastic surgery, schedule a consult and see for yourself, I promise you won't be disappointed! You want the best in the business, and he is it!

M.C., Google Review

Frequently Asked Questions About Motiva Breast Implants

How long do Motiva breast implants last?

Will my implants feel natural?

What is capsular contracture, and how does Motiva reduce the risk?

What are the risks and complications associated with breast augmentation?

How should I prepare for my Motiva breast augmentation?

What is the difference between submuscular and subglandular implant placement?

How long will my scars be visible?

Can I breastfeed after Motiva breast augmentation?

What should I expect during my follow-up care?

How long do Motiva breast implants last?

Motiva implants are designed to last 15-20 years or longer. However, they are not considered lifetime devices. Some implants may require replacement due to rupture, capsular contracture, or patient preference for size adjustment. Regular follow-up appointments with Dr. Esmailian help monitor your implants and identify any concerns early.

Will my implants feel natural?

Yes. Motiva implants use cohesive silicone gel that mimics the feel of natural breast tissue. Combined with appropriate sizing and placement, most patients report that their implants feel natural to both themselves and their partners. The feel improves over time as swelling resolves and implants settle.

What is capsular contracture, and how does Motiva reduce the risk?

Capsular contracture occurs when scar tissue tightens around the implant, potentially causing firmness or distortion.4 Motiva's SmoothSilk surface technology is designed to reduce friction between the implant and surrounding tissue, significantly lowering capsular contracture risk compared to traditional textured implants.

What are the risks and complications associated with breast augmentation?

As with any surgical procedure, breast augmentation carries potential risks and complications. These may include:

  • Infection (rare, typically managed with antibiotics)
  • Bleeding or hematoma (collection of blood requiring drainage)
  • Seroma (collection of fluid, usually resolves on its own)
  • Capsular contracture (scar tissue tightening around implant)
  • Implant rupture or deflation (rare with modern implants)
  • Changes in nipple sensation (usually temporary)
  • Asymmetry or malposition requiring revision
  • Anesthesia-related complications (rare with modern anesthesia)5

Dr. Esmailian will discuss these risks in detail during your consultation and explain how his surgical techniques and implant selection minimize complication rates.

How should I prepare for my Motiva breast augmentation?

Preparation for breast augmentation includes:

  • Stopping smoking at least 2-4 weeks before surgery (nicotine impairs healing)
  • Avoiding certain medications and supplements that increase bleeding risk
  • Arranging time off work (typically 1-2 weeks for desk work, 4-6 weeks for strenuous activity)
  • Arranging transportation home after surgery
  • Preparing your home for recovery (comfortable clothing, pillows for support)
  • Following all pre-operative instructions provided by Dr. Esmailian's team

What is the difference between submuscular and subglandular implant placement?

Submuscular or Dual Plane placement positions the implant beneath the pectoral muscle in the upper two thirds of the implant, providing additional tissue coverage. This placement reduces the visibility of implant edges and rippling, particularly in thin-skinned patients, and may lower capsular contracture risk. Recovery may be slightly longer due to muscle manipulation.

Subglandular placement positions the implant directly behind the breast tissue but above the muscle. This placement may result in faster recovery and less post-operative discomfort. However, it provides less tissue coverage and may not be ideal for very thin patients or those at higher risk for capsular contracture.

Dr. Esmailian will recommend the most appropriate placement based on your anatomy and goals.

How long will my scars be visible?

Incision scars typically fade significantly over 12-18 months as they mature. The visibility depends on incision location, your skin type, and healing response. Inframammary incisions (in the breast crease) are usually the least visible. Dr. Esmailian uses advanced closure techniques and skin adhesive to minimize scarring. Most patients find their scars become nearly imperceptible over time.

Can I breastfeed after Motiva breast augmentation?

In most cases, yes. Breast augmentation does not typically affect your ability to breastfeed, particularly with submuscular placement.6 However, periareolar incisions (around the nipple) carry a slightly higher risk of affecting milk ducts. Dr. Esmailian will discuss this during your consultation if breastfeeding is a concern.

Can I breastfeed after Motiva breast augmentation?

Follow-up care includes:

  • Post-operative visits at 1 week, 2 weeks, 6 weeks, and 3 months
  • Regular self-examination of your implants
  • Annual check-ups with Dr. Esmailian to monitor implant integrity
  • Immediate contact with Dr. Esmailian if you notice changes in implant feel, appearance, or any concerning symptoms

Dr. Esmailian's team will provide detailed post-operative instructions and be available to address any questions or concerns during your recovery.

Contact Us

Ready to explore Motiva breast implants and discover how they can enhance your appearance? Schedule your personalized consultation with Dr. Farbod Esmailian. We serve patients throughout Orange County, including Huntington Beach, Seal Beach, and surrounding areas.

During your consultation, Dr. Esmailian will evaluate your anatomy, discuss your aesthetic goals, review implant options, and answer all your questions about the Motiva breast augmentation process. We're committed to helping you make an informed decision and achieve the natural, beautiful results you deserve.

Contact us today to schedule your consultation and take the first step toward enhanced confidence and beauty.

1 Motiva. Are Motiva® Implants FDA approved? https://support.motiva.health/hc/en-us/articles/4408682762643-Are-Motiva-Implants-FDA-approved. Accessed February 18, 2026.
2 Aitzetmüller-Klietz ML, Yang S, Wiebringhaus P, Wellenbrock S, Öztürk M, Kückelhaus M, Hirsch T, Aitzetmüller-Klietz MM. Complication Rates after Breast Surgery with the Motiva Smooth Silk Surface Silicone Gel Implants-A Systematic Review and Meta-Analysis. J Clin Med. 2023 Feb 27;12(5):1881. doi: 10.3390/jcm12051881. PMID: 36902667; PMCID: PMC10004118. Available: https://pubmed.ncbi.nlm.nih.gov/36902667/. Accessed February 18, 2026.
3 FDA. What to Know About Breast Implants. Available: https://www.fda.gov/consumers/consumer-updates/what-know-about-breast-implants. Accessed February 18, 2026.
4 American Society of Plastic Surgeons. What is capsular contracture and how can it be treated? Available: https://www.plasticsurgery.org/news/blog/what-is-capsular-contracture-and-how-can-it-be-treated. Accessed February 18, 2026.
5 American Society of Plastic Surgeons. What are the risks of breast augmentation? Available: https://www.plasticsurgery.org/cosmetic-procedures/breast-augmentation/safety. Accessed February 18, 2026.
6 Schiff, M, et al. The impact of cosmetic breast implants on breastfeeding: a systematic review and meta-analysis. International Breastfeeding Journal 2014; 9: 17.10.1186/1746-4358-9-17. Accessed February 18, 2026.

Page updated: March 17, 2026

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