Motiva Breast Implants in Des Moines
Motiva breast implants represent one of the most advanced generations of implant technology available today. At Des Moines Plastic Surgery, board-certified plastic surgeon Dr. David Robbins offers Motiva breast implants and the innovative Preservé technique for patients who want a natural look, a soft feel, and a modern approach to breast augmentation. Preservé is designed to preserve more of the breast’s natural anatomy while creating space for the implant with less tissue disruption than traditional techniques. Your implant type, projection, placement, and surgical approach are chosen around your anatomy and goals—not a default recommendation.
Motiva Breast Implants Overview
Motiva breast implants were developed around many of the concerns that shaped earlier generations of breast augmentation. Patients had grown wary of capsular contracture, visible implant edges under thin tissue, and the BIA-ALCL concerns associated primarily with textured breast implants. Motiva was designed as a response: a smoother surface, a more flexible shell, and a filling gel that moves the way real breast tissue moves. After more than a decade of use in over 85 countries, Motiva received FDA approval in the United States in September 2024. Two families are offered, Ergonomix and Round, each built for a different aesthetic goal.
How Motiva Implants Work
Motiva breast implants combine several technologies that separate them from earlier generations of implants. The SmoothSilk surface is designed to reduce inflammation and lower the risk of capsular contracture. The TrueMonobloc shell structure allows for durability with the flexibility to be placed through smaller incisions. Inside, the ProgressiveGel filling is a cohesive silicone gel that holds shape while still moving like natural tissue. Ergonomix implants take on a soft teardrop shape when upright and redistribute when reclined, while Round implants maintain fullness in the upper pole regardless of position.
Benefits of a Motiva Implants
The technical differences behind Motiva breast implants translate into qualities patients can actually see and feel. The Ergonomix line is designed to adapt as the body changes position, creating a softer, more natural-looking result in motion as well as at rest, which can matter to patients who want their breasts to look and feel less obviously augmented whether standing, exercising, or lying down. Its flexible shell is designed to support natural movement and feel, while the SmoothSilk surface was developed with biocompatibility and low inflammation in mind. U.S. clinical data have also shown low rates of complications including capsular contracture.
Am I a Good Candidate for Motiva Implants?
Most patients arrive at a breast implants consultation already knowing they want the procedure, but weighing which implant option actually fits their body and lifestyle. Motiva Ergonomix may appeal particularly to patients who have less natural breast tissue or who prioritize a softer, more natural-looking result in motion, and to active patients who want their result to appear natural as they move, exercise, and change position. A good candidate is in generally good health with realistic expectations, and our team reviews health history, smoking status, and the degree of any breast sagging during consultation to determine whether Motiva Ergonomix or another option is the best fit. Candidacy is confirmed during your one-on-one consultation.
Preservé by Motiva
A More Tissue-Preserving Approach to Breast Augmentation
For patients looking for a natural-looking breast augmentation with less disruption to their existing breast anatomy, Preservé by Motiva® offers an innovative approach to breast implant surgery. Preservé is a less-invasive breast augmentation technique designed to preserve more of your natural breast tissue and internal support structures. Rather than creating the implant pocket through traditional surgical dissection, the technique uses specialized Motiva instruments to gently separate and elongate the natural tissues, creating space for the implant while minimizing disruption.
When combined with the Motiva SmoothSilk Ergonomix2 implant, Preservé is designed to support a soft, natural-looking result while maintaining the breast’s natural anatomy.
What Makes Preservé Different?
Preserve Your Natural Anatomy
The technique is designed to minimize disruption to native breast tissues and preserve the natural structures that support the breast.
Smaller Incisions
The Motiva Insertion Sleeve allows the implant to be inserted through a smaller incision, which may help minimize visible scarring.
Gentle Tissue Expansion
Instead of traditional pocket dissection, a specialized inflatable balloon gently elongates the breast tissues to create space for the implant.
Natural-Looking Results
Preservé is paired with the Motiva SmoothSilk Ergonomix2 implant, designed to provide a soft feel and natural movement.
Designed for Recovery
Because Preservé is designed to minimize tissue disruption compared with traditional breast augmentation, it may offer a more comfortable and efficient recovery for appropriate candidates.
How Does Preservé Work?
The Preservé technique uses three specialized steps:
1. Create a Precise Pathway
The Motiva Channel Separator creates a controlled tunnel through the breast tissue without traditional pocket dissection.
2. Gently Expand the Tissue
A Motiva Inflatable Balloon gently elongates the surrounding tissues to create the space needed for the implant while helping preserve the breast’s natural support structures.
3. Place the Implant
The Motiva SmoothSilk® Ergonomix2® implant is inserted using a specialized insertion sleeve designed to support a smaller incision and a no-touch insertion technique.
Is Preservé Right for You?
Preservé may be an option for patients seeking breast augmentation who prioritize natural movement, preservation of their existing breast anatomy, and a less-invasive surgical approach. During your consultation, Dr. David Robbins will evaluate your breast anatomy, tissue quality, goals and desired outcome to determine whether Preservé and Motiva implants are appropriate for you.
Interested in a more natural approach to breast augmentation?
What To Expect Before, During, and After a Motiva Implants
Understanding each stage of the process makes the decision easier and the recovery smoother. From your first consultation through your final follow-up, our team walks you through what to expect, when, and why so you feel prepared throughout.
What To Expect Before
The process begins with a consultation to review your medical history, evaluate your anatomy, and discuss your goals. You will see multiple breast implants options in person, including Motiva Ergonomix and Round, and preview how different sizes and projections may look on your body using our Vectra 3D Imaging System. Pre-surgical instructions typically include pausing certain medications and supplements, avoiding nicotine, and arranging transportation home along with someone to help for the first day or two. You will leave with written guidance, a clear cost estimate, and time for remaining questions.
What To Expect During
Motiva breast implants surgery is performed under general anesthesia in our accredited on-site surgical suite and typically takes one to two hours. Incisions are placed in the inframammary fold, around the areola, or in the armpit depending on your anatomy and preference. The implants are positioned either behind the breast tissue or beneath the chest muscle, with placement chosen to match your goals. The flexibility of the Motiva shell allows for smaller incisions than some traditional options. You return home the same day with a supportive garment and detailed recovery instructions..
What To Expect After
Mild swelling, soreness, and tightness are expected during the first one to two weeks. Most patients return to desk work within five to seven days and resume light activity around the same time. Strenuous exercise and heavy lifting should be paused for four to six weeks. A supportive garment is worn during early recovery to help the breast implants settle into position. Follow-up appointments are scheduled during the first few weeks to monitor healing. Final results continue to refine over the following months as swelling fully resolves and the tissues settle.
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