Motiva Breast Implants
Motiva Breast Implants with Dr. Leonard Gray at Bay Area Plastic Surgery
Dr. Leonard Gray, a double board-certified plastic surgeon at Bay Area Plastic Surgery in San Francisco, CA, now offers Motiva breast implants alongside Mentor and Sientra. Motiva is a 6th-generation silicone implant featuring Ergonomix2® adaptive shaping and SmoothSilk® nano-surface engineering, FDA-cleared for women 22 and older seeking primary augmentation or revision surgery. Patients can compare all three implant brands in person during a sizing consultation at Dr. Gray’s San Francisco office.
Choosing a breast implant is one of the most personal decisions in the entire breast augmentation process, and it deserves the same level of education and care that Dr. Gray brings to every other part of a patient’s journey. For women who want results that move, feel, and look indistinguishable from natural breast tissue, Motiva breast implants represent one of the most advanced options available today.
Motiva implants are 6th-generation silicone breast implants engineered around three proprietary innovations: Ergonomix2® adaptive shaping technology, SmoothSilk® surface engineering, and ProgressiveGel® fill. Together, these technologies produce an implant that adapts to the body, shifts naturally with movement, and works in harmony with a patient’s own tissue.
At Bay Area Plastic Surgery, Dr. Leonard Gray is proud to add Motiva breast implants to the range of implant options he offers, alongside the Mentor and Sientra implants his San Francisco and Bay Area patients already know and trust. Dr. Gray has performed over 10,000 breast procedures in more than 20 years of practice, and he genuinely values patient education, giving every patient the information she needs to make her own informed decision.
Learn more about Motiva breast implants by reading on, or schedule your consultation online with Dr. Gray today.
What Are Motiva Breast Implants?
Motiva breast implants are next-generation silicone implants representing the 6th generation of implant technology. Where earlier generations of implants were designed simply to hold their shape, Motiva implants are designed to behave, adapting dynamically to body position, movement, and gravity in a way that closely mirrors natural breast tissue.
The result is a breast that feels soft and natural whether a patient is standing, lying down, or moving through her day. This positional intelligence is a meaningful point of differentiation, and it is one of the reasons Dr. Gray is excited to offer Motiva to patients who prioritize the most authentic possible outcome.
Motiva implants are FDA-cleared for primary breast augmentation in women 22 years of age and older, and for breast revision surgery. They are available in a range of sizes, profiles, and shapes to accommodate each patient’s unique anatomy and aesthetic goals.
Key Features and Benefits of Motiva Breast Implants
At the heart of the Motiva system is Ergonomix2®, an ultra-soft, highly flexible implant design engineered to mimic the natural movement of breast tissue. These implants shift from a gentle teardrop contour when upright to a softer, rounder silhouette when reclining, responding to gravity just as natural tissue does.
The SmoothSilk® surface uses nano-surface engineering, so the shell encourages favorable tissue integration, reduces localized inflammation, and helps minimize the risk of capsular contracture, one of the most common complications associated with breast implants. Because textured implant surfaces have been linked to ALCL (anaplastic large cell lymphoma) and other concerns, Dr. Gray no longer offers textured implants of any brand; SmoothSilk® is a smooth-surface technology, consistent with the smooth-implant-only approach he already follows in his practice.
ProgressiveGel® is Motiva’s proprietary silicone gel formulation, engineered for an exceptionally soft, natural feel with excellent shape retention. The gel is highly cohesive while remaining pliable, holding the implant’s form without feeling firm or artificial.
Every Motiva implant includes the Q Inside Safety Technology® BlueSeal® barrier layer, a quality-assurance feature built directly into the implant’s construction, reflecting the brand’s overall commitment to long-term patient safety.
How Does Motiva Compare to Mentor and Sientra?
Dr. Gray has offered Mentor and Sientra silicone implants to San Francisco patients for many years, and both remain excellent, well-established options with strong safety profiles. Motiva does not replace either brand; it gives patients a third proprietary technology to consider during their sizing consultation, distinguished by Ergonomix2® positional adaptability and SmoothSilk® nano-surface engineering.
For a full side-by-side breakdown of feel, movement, and shape retention across all three brands, read Motiva vs. Mentor vs. Sientra: Which Breast Implant Is Right for You?. During a sizing consultation, patients are welcome to try on real implants across all three brands before making a decision.
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Instilling Beauty
Inspiring Confidence
Dr. Gray is a board-certified plastic surgeon with over 20 years of experience conducting surgical procedures of the breast, body, and face. His emphasis on patient education and attention to detail have made him the top choice for plastic surgery in the Bay Area. Dr. Gray invites you to meet with him for a friendly and informative consultation.
Common Reasons Patients Choose Motiva Breast Implants
For many women, the defining concern about breast augmentation is whether the results will feel natural, both to themselves and to others. Motiva’s Ergonomix2® technology and ProgressiveGel® fill were engineered specifically to address this concern.
Capsular contracture, in which scar tissue forms around an implant and causes firmness or distortion, is one of the most common reasons patients seek breast revision surgery. Motiva’s SmoothSilk® surface is designed to minimize this risk by encouraging more favorable tissue interaction.
Conventional implants hold their shape regardless of body position, which can look convincing at rest but behave unlike natural tissue during movement. Motiva’s positional responsiveness is especially appealing to active patients who want results that hold up through daily life.
For patients who are dissatisfied with the feel, shape, or performance of prior implants, Motiva can offer a meaningful upgrade during breast revision surgery.
Your Motiva Breast Augmentation Consultation in San Francisco
The first step in the Motiva breast augmentation journey is a one-on-one consultation with Dr. Gray. Dr. Gray takes the time to understand each patient’s goals, evaluate her existing breast tissue and body proportions, and walk through every relevant decision, including implant brand, profile, size, and placement.
Sizing is performed with real implants so patients can get an accurate look and feel of the end result. Patients are encouraged to go through every profile and gel type, across Motiva, Mentor, and Sientra, until they find the option that feels right. While Dr. Gray offers guidance based on his experience with all three technologies, the goal is always a result that matches each patient’s own vision.
Stunning natural results
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How Is Motiva Breast Augmentation Performed?
Motiva breast augmentation is performed as an outpatient procedure under general anesthesia in Bay Area Plastic Surgery’s AAAASF-accredited surgical center. Before the operation, Dr. Gray applies a nerve block, and patients can choose a block lasting six to eight hours or Exparel®, a numbing solution effective for up to four days.
Dr. Gray creates a precise pocket for the implant, most commonly through an inframammary incision beneath the breast fold. He uses the no-touch technique for every case, meaning the Motiva implant is handled with minimal contact to the skin, reducing the risk of bacterial contamination and, in turn, capsular contracture.
Dr. Gray most often places implants beneath the pectoralis major muscle (submuscular placement), relaxing the lower portion of the muscle and selecting the correct implant width to help create natural cleavage and minimize upper-pole rippling.
Incisions are closed with absorbable, knotless sutures using Dr. Gray’s “cat whisker” technique and Dermaflex™ glue, so there are no dressings, drains, or wrappings, and no sutures to remove in the traditional sense.
What to Expect After Motiva Breast Augmentation Surgery
Patients return home the same day. Because Dermaflex glue is used, patients can shower the same day as surgery, and the glue falls away naturally after about three weeks.
- Maximal swelling occurs three to four days after surgery, gradually resolving over about four months
- Patients wear a supportive underwire bra (such as the Simone Perele Andorra) 24 hours a day for the first two months
- Low-activity guidelines, including flat walking only and no lifting over one pound, are followed for five to eight weeks before gradually increasing activity
- Follow-up appointments are scheduled at one week, two weeks, one month, two months, three months, and four months
Motiva Breast Implant Candidacy
Motiva breast implants are FDA-cleared for women at least 22 years of age seeking primary breast augmentation, and for qualifying patients seeking revision surgery. As with any breast implant, candidacy depends on realistic expectations, overall health, and a thorough review of anatomy and goals during consultation with Dr. Gray.
Why Choose Dr. Leonard Gray for Motiva Breast Implants in San Francisco?
Dr. Leonard Gray is a double board-certified plastic surgeon who has performed breast, body, and facial procedures for San Francisco and Bay Area patients for over 20 years, including more than 10,000 breast procedures. His practice philosophy, reflected in Bay Area Plastic Surgery’s own promise to be “Instilling Beauty. Inspiring Confidence.”, centers on thoroughly educating every patient so she can make her own informed decision with confidence.
Adding Motiva to the implant technologies available at Bay Area Plastic Surgery reflects that same commitment: giving patients more information, more choice, and a surgeon who has the experience to help them choose well.
A Note on Newer Motiva Technology
Motiva’s manufacturer, Establishment Labs, continues to refine the platform, including a single-piece TrueMonobloc® shell construction on newer devices and a range of Ergonomix and Round style/projection combinations. Dr. Gray stays current on these updates and will confirm the specific Motiva generation and features available at the time of a patient’s consultation, since implant specifications can be updated by the manufacturer.
Schedule a San Francisco Motiva Breast Implant Consultation
Contact Bay Area Plastic Surgery to learn more about Motiva breast implants with Dr. Leonard Gray at his San Francisco office, conveniently located at 450 Sutter Street, Suite 2303, serving patients throughout the Bay Area.
Call us at (415) 434-8858 or reach us online today.
Motiva Breast Implants San Francisco, CA, FAQs
Motiva breast implants are 6th-generation silicone implants featuring Ergonomix2® adaptive shaping technology, SmoothSilk® nano-surface engineering, and ProgressiveGel® fill. They are designed to mimic the natural movement of breast tissue, shifting from a teardrop shape when standing to a softer, rounder contour when lying down. In San Francisco, Motiva breast implants are offered by Dr. Leonard Gray at Bay Area Plastic Surgery.
The cost of Motiva breast augmentation in San Francisco varies based on implant selection, surgical technique, anesthesia, and facility fees. Dr. Gray provides a personalized cost estimate during a sizing consultation. Financing options are available; see Bay Area Plastic Surgery’s financing page for details.
Breast implants are not considered lifetime devices. Motiva’s manufacturer, like other implant makers, offers a warranty against deflation and contracture, and Dr. Gray monitors all implant patients at scheduled follow-ups so that any future concerns are identified early.
Motiva breast implants are FDA-cleared for primary breast augmentation in women 22 years of age and older, and for breast revision surgery. Dr. Gray will review candidacy during consultation.
Motiva’s key differentiators are Ergonomix2® positional adaptability and SmoothSilk® nano-surface engineering aimed at reducing capsular contracture risk. Mentor and Sientra are both well-established brands Dr. Gray has used successfully for years, each with a strong track record; Mentor is known for its consistent gel and shell design, while Sientra’s more highly cross-linked “gummy bear” gel holds its shape firmly. Dr. Gray is happy to walk through all three options during a sizing consultation.
SmoothSilk® is Motiva’s nano-surface engineered shell, designed to encourage favorable tissue interaction, reduce inflammation, and minimize the risk of capsular contracture, one of the most common complications associated with breast implants.
Yes. Dr. Gray uses the no-touch technique for every breast augmentation case, including Motiva implants, minimizing contact between the implant and the skin or surrounding tissue to reduce the risk of bacterial contamination and capsular contracture.
Patients follow low-activity guidelines, limited to flat walking and no lifting over one pound, for five to eight weeks. A supportive bra is worn 24 hours a day for the first two months. Swelling gradually resolves over about four months, with follow-up visits at one week, two weeks, one month, two months, three months, and four months.
Most patients are placed through an inframammary incision within the natural breast fold. Dr. Gray uses absorbable, knotless sutures and Dermaflex™ glue rather than traditional dressings, and scars continue to fade over time. Silicone-based scar treatments and later microneedling can further improve appearance if desired.
Yes. Regular mammograms remain important at the appropriate age. Silicone implants placed beneath the muscle do not interfere with a mammogram’s ability to detect breast cancer.
Most women breastfeed successfully after breast augmentation, including with Motiva implants. Certain incision types, such as periareolar incisions, carry a small chance of affecting sensation or milk supply, which Dr. Gray can discuss during consultation.
Submuscular placement positions the implant beneath the pectoralis major muscle; Dr. Gray uses this approach most often because relaxing the lower portion of the muscle helps create natural cleavage and reduces upper-pole rippling. Subfascial placement positions the implant above the muscle but beneath the chest fascia, preserving full muscle function. Dr. Gray will recommend the placement best suited to each patient’s anatomy and activity level.
Dr. Leonard Gray at Bay Area Plastic Surgery, located at 450 Sutter Street, Suite 2303 in downtown San Francisco, offers Motiva breast implants to patients throughout San Francisco and the greater Bay Area, including Oakland, Berkeley, Palo Alto, and San Jose. Schedule a consultation online or call (415) 434-8858.
Yes. Dr. Leonard Gray at Bay Area Plastic Surgery offers Motiva breast implants in San Francisco, alongside Mentor and Sientra, serving patients throughout the Bay Area. Call (415) 434-8858 or reach us online to schedule your Motiva breast implant consultation today.
Content Author / Medical Reviewer
Leonard W. Gray, MD — double board-certified plastic surgeon, Bay Area Plastic Surgery, San Francisco, CA. Over 20 years in practice and more than 10,000 breast procedures performed. Read Dr. Gray’s full bio.