Motiva Breast Implants

Serving patients from Midtown Manhattan to Great Neck, Long Island and throughout New York, the experienced plastic surgeons at New York Breast Surgery Center are proud to offer the top-of-line breast implants called Motiva. The breast augmentation you receive from these implants is so real, only you and your surgeon need know they are there. And, with your doctor’s recommendation, you choose the type of profile you want. Call today to learn more about Motiva breast implants.

Table of contents

    What Are Motiva Breast Implants?

    Motiva implants are made by Establishment Labs. Every Motiva implant carries built-in technologies not found in any standard silicone- or saline-filled device, such as:

    • SmoothSilk. This product features a surface that’s neither smooth nor textured. A nano-surface is engineered to interact with your tissue differently than either.
    • BluSeal. This refers to a blue layer inside the shell. If gel moves past it, due a leak, for example, any surgeon who opens the area sees it immediately.
    • Q Inside safety technology. A chip inside the implant stores data permanently. That data is readable by any surgeon who works with you later.

    Experienced plastic surgeon Dr. David Shokrian and board-certified plastic surgeon Dr. Mohamed Soliman Ahmed Elfar at New York Breast Surgery Center review every implant option with you during your consultation. When it aligns with your goals and budget, your surgeon may recommend Motiva as the most advanced breast implants for your breast augmentation.

    Dr. Shokrian adds: “Motiva was built around a question most implant companies didn’t ask: what do you as the patient need to know about this device ten years from now? The Q Inside chip and the BluSeal layer both answer that in ways a traditional implant can’t.”

    How Do Motiva Implants Compare to Traditional Breast Implants?

    Your surface choice with a traditional breast implant comes down to whether you prefer smooth or textured. The 2019 FDA recall that linked certain textured surfaces to a rare lymphoma changed how women weighed that option. SmoothSilk implants, approved by the FDA in 2024, are better for you.

    There are inherent advantages to SmoothSilk, which changes how your surrounding tissue responds to the implant. They are both safe and effective. Additionally, BluSeal aids any future surgeon who operates on you, by exposing visually any leak. The Q Inside data chip stores the information about your implant, so your future surgeon can see it immediately. You don’t need paperwork or imaging first.

    What Profiles Does the Motiva Implant Come In?

    Ergonomix is the option that separates Motiva from any other implant available. It responds to your body position. Lying down, it flattens with you. Standing or moving, the lower pole fills out, and the shape shifts toward a teardrop. You’re not locked into a fixed, unnatural profile regardless of position.

    Round Motiva implants add consistent fullness from your upper pole. The enhancement looks the same whether you’re sitting, standing or lying flat. Round implants stay in the same shape no matter how you move. If that’s what you want, round is your answer, but now you have other choices.

    You surgeon recommends a projection grade, based on your chest measurements and what your goals are. Mini, Demi and Full determine how far your implant sits out from your chest. Specifically:

    • Mini stays the closest to your chest wall. It’s the right pick if you want something that looks natural or your frame is on the narrower side.
    • Demi gives you more push than Mini without going as far as Full.
    • Full sits out the most and gives you the strongest result.

    What Sizes Are Available for Motiva Implants?

    Motiva implants are measured in cubic centimeters (cc). To increase your bust one breast cup size requires about 200 cc. Establishment Labs offers a wide range of sizes for their Motiva breast implants. Which size your plastic surgeon recommends for you depends on a number of factors, but your consultation often begins with a conversation about size.

    Your New York surgeon begins your consultation in by measuring your chest wall width. That may eliminate some sizes as being too small or too large for your frame. Your tissue coverage and skin condition further limit the range of sizes appropriate for you.

    Dr. Shokrian explains further: “You can share the same size implant with another patient, but you end up with a completely different result on your chest. The chosen profile is often the reason. I confirm both your size and profile at your consultation, built around your specific measurements. Trust me to help you reach your aesthetic augmentation goals.”

    What Do Motiva Breast Implants Look Like Before and After?

    Before your procedure, your plastic surgeon at New York Breast Surgery Center reviews your full treatment plan with you. You see your implant selection and understand the placement decision before your surgery day arrives. From that moment on, you know exactly what to expect. To learn more about what you may look like before and after, view the photos in the before and after gallery.

    With Ergonomix profiles, your augmented breast follows your body. The implant may look different, depending on your position, sine it responds to your movement throughout your day. If you’ve had standard, fixed implants before, this is the change that stands out most — and one that before and after photos can’t capture.

    According to the American Society of Plastic Surgeons, patient satisfaction following breast augmentation ranks among the highest of any elective procedure. As your implants settle after your surgery, your result takes its final shape. Learn about your recovery with a week-by-week healing breakdown, so you know what to watch for at each stage.

    Should My Motiva Implant Go Over or Under My Chest Muscle?

    Sub-muscular placement means the implant goes beneath your chest muscle. Sub-glandular placement means the implant sits in front of it. Both positions work with a Motiva implant, but the placement changes how the implant performs for you.

    Establishment Labs built their Ergonomix profile with sub-glandular placement in mind. In front of the muscle, the position-responsive behavior comes through as designed. Under the muscle, the implant gets restricted by the layer above it.

    Sub-muscular placement still suits certain body types. If you have thin breast tissue, there’s very little between the implant and your skin. A sub-muscular position provides coverage for that, making your breast look more natural and better hiding the implant’s structure.

    What Is the Motiva Breast Implants Price?

    Your Motiva breast implants price often runs more than standard silicone- or saline-filled implants cost. Of course, SmoothSilk, BluSeal and Q Inside don’t exist in standard implants. Your Motiva implant has all three, and building a device around them naturally costs more. Breast augmentation with Motiva in New York City is usually a cash-only procedure. Your total cost, which can surpass $25,000, covers several components, including:

    • Your plastic surgeon’s fee
    • Anesthesia and your anesthesiologist’s fee
    • The use of the surgical suite or operating room
    • Lab work before surgery and check-ins after
    • The Motiva implant, priced by profile and size

    New York Breast Surgery Center is not in-network with any insurance carrier. Dr. Shokrian’s team checks your provider for any out-of-network benefits that apply to your situation. Financing payment plans are available. You learn the details and total cost before your procedure begins. There are no surprises here.

    “I tell you upfront that the Motiva price runs higher than standard silicone implants,” says Dr. Shokrian. “And then I explain exactly what you’re getting that a standard implant doesn’t include. That conversation changes how you think about the cost.”

    What Questions Come Up Most about Motiva Breast Implants?

    “Questions about the Q Inside chip come up in almost every Motiva consultation,” says Dr. Shokrian. “The concern is almost always whether the chip interferes with daily life. It doesn’t. It’s a passive device. Nothing transmits on its own. Once you understand it’s passive and only readable with medical equipment, the conversation moves on to the next thing.”

    Many prospective patients also ask about TrueMonobloc, Motiva’s progressive gel formulation. How does it feel? What does it look like? When you’re still, it holds its shape. When you move, it gives slightly. And its feel is closer to natural breast tissue than a fixed-resistance fill produces.

    After surgery, the first question Dr. Shokrian hears isn’t about profile or size. It’s about movement. Ergonomix patients notice the shift when they lie down. The implant flattens with them. Most weren’t expecting this, but feel that’s what makes the result feel like their own.

    Are Motiva Implants Safe?

    Motiva implants are FDA-approved for use in more than 70 countries. In the United States, Establishment Labs submitted for FDA premarket approval, which was granted in 2024. The 2019 FDA recall targeted specific textured implants. Your Motiva has a SmoothSilk surface, not a traditional textured one and it wasn’t part of that recall.

    Your safety doesn’t stop at the implant itself. New York Breast Surgery Center performs every procedure in an accredited surgical suite with a monitoring protocol built into your care plan from the first day. When inserted by a talented, experience plastic surgeon like one of those at New York Breast Surgery Center, these implants are perfectly safe.

    Am I a Candidate for Motiva Breast Implants?

    Motiva breast implants suit the same candidates of those for any breast augmentation. Your health needs to be stable, your breast development complete and your goal specific enough to discuss at a consultation. Where Motiva makes the most sense is when your priorities include issues you’ve thought about, such as:

    • Having implants that move with your body position instead of locking into one shape
    • Allowing implant data to be stored permanently through Q Inside, accessible to any surgeon who treats you later
    • Getting a different response from your surrounding tissue than standard silicone produces

    If you’re pregnant, breastfeeding or actively smoking, your surgery has to wait. You can’t get breast augmentation of any kind if you have any unmanaged health conditions. It’s best if your weight is stable and you have plans to keep it that way, as weight fluctuations can affect your augmentation.

    Frequently Asked Questions

    Have questions about Motiva breast implants? Find answers to some of the most common questions below.

    Your Motiva implants don’t have a set replacement date. While no implant is considered permanent, may last up to 20 years. Your Motiva implants stay in as long as your body is doing well with them. If something changes, you can opt for breast revision at New York Breast Surgery Center.

    The Q Inside chip inside your Motiva implant is fully passive and transmits nothing on its own. It doesn’t interfere with MRI scans or airport security equipment at any time.

    Establishment Labs backs Motiva breast implants with a warranty covering rupture and select complications. Your surgeon confirms the exact terms at your consultation.

    Yes, Motiva breast implants pair well with a fat transfer breast augmentation. If you want implant volume combined with natural fat for contouring and upper pole refinement, you can get it in one surgical treatment.

    Motiva breast implants have built-in technologies, including BluSeal, Q Inside and SmoothSilk that no Mentor or Allergan device includes.

    The shift is subtle, but real. When you lie down, your Motiva breast implant flattens naturally with your body. When you stand, the lower pole fills back up, giving your result a feel closer to natural tissue than any fixed implant produces.

    Capsular contracture is the biggest risk your breast implant carries. If your develop this condition, capsular contracture treatment at New York Breast Surgery Center corrects it. If your implant ever needs to come out, breast implant removal surgery takes care of that.

    Incisions for Motiva implants are placed in your breast fold, around the areola or in the armpit. Your NYC surgeon makes that call, based on where your implant needs to sit and where your scar heals best.

    Yes, you can choose Motiva implants even if you plan on pregnancy later. Your breast tissue and milk ducts remain unaffected in most cases, as long as your surgeon uses proper surgical technique, like all the experienced plastic surgeons at New York Breast Surgery Center use.

    Light walking starts within a few days after your Motiva breast implant surgery, which supports circulation and healing. Heavy exercise, lifting and chest training return only after your surgeon confirms you’ve reached full healing, and that takes months.

    Motiva breast implant surgery is performed while you’re under anesthesia, so you don’t feel pain during the procedure. After surgery, you experience soreness, tightness and swelling that improve gradually as your body heals.

    Motiva breast implants perform the way they’re designed when you and your surgeon select an appropriate profile, size and placement of your implants. Dr. Shokrian and Dr. Elfar have extraordinary knowledge of anatomy. They create the chest pocket for the implant perfectly because they understand the technology behind each decision.

    Your NYC plastic surgeon brings his experience and expertise to every Motiva procedure to deliver results you will actually feel excited about. To schedule a consultation, contact New York Breast Surgery Center today. reach out to the nearest office in either Midtown Manhattan or Great Neck, Long Island.

    Medically Reviewed on July 24, 2026 by Dr. Shokrian (Plastic Surgeon) of New York Breast Surgery Center of New York
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