Jed H. Horowitz, MD, FACS

Best Profile for Tubular Breasts For tubular breasts, Full profile implants are often recommended because: They add significant upper pole volume to lift and round the breast from the front They help create cleavage and a more natural side-view curve. Ergonomix® implants mimic natural breast shape with a teardrop contour, which can be beneficial for tubular breasts because they add volume to the lower pole and upper pole without making the base too wide Round implants can also be used, especially if the goal is to build a new breast foundation with more upper pole fullness

If you really what your breast to look very natural Simple Decision Guide Goal Likely Choice Natural, subtle Ergonomix + Mini or Demi Balanced, most common Ergonomix or Round + Demi Fuller, more dramatic Round + Full What size implant should I choose? Implant size is highly individualized. Important principles include: • The implant should fit within your natural breast footprint • It should align with your body proportions and lifestyle Consider: • Athletic patients may prefer moderate sizing • Larger implants may contribute to back or shoulder discomfort over time At Pacific Center for Plastic Surgery, we use: • Clinical measurements • Implant sizers • Advanced planning tools to help you make an informed decision.

Motiva Ergonomix2 implants. If you ideally would want your surgeon local to you, You should considering traveling for surgery. The "Joy" implant as they are being called is still being considered in the United States , but there has been no update on lead time and release. Do Motiva implants feel natural? Yes—especially the Ergonomix® line. These implants are specifically engineered to: • Move naturally • Respond to gravity • Feel softer than traditional implants However, no implant perfectly replicates natural breast tissue. Simple Decision Guide Goal Likely Choice Natural, subtle Ergonomix + Mini or Demi Balanced, most common Ergonomix or Round + Demi Fuller, more dramatic Round + Full

Volume is always the same ie . 300 cc is 300 cc but can be distributed into different dimensions ie wider width and lower projection or more narrow and higher projection. This is why each company has different profiles. What profiles are available for Motiva Breast Implants? The profile selection is one of the most critical decisions—often more important than implant size. Motiva® Implant Profiles (Projection Explained) The Implant profile how far the implant projects forward from the chest wall, not the size (cc). The Three Main Motiva Profiles: 1. Mini Profile (Low Projection) • Widest base, least projection • Creates: • Subtle enhancement • Gentle, natural slope • “Athletic” or understated look o Best for: • Wide chest • Thin patients wanting minimal augmentation 2. Demi Profile (Moderate Projection) — MOST COMMON • Balanced width and projection • Creates: • Natural fullness • Soft upper pole • Noticeable but not exaggerated cleavage o Best for: • Most patients • First-time augmentation 3. Full Profile (Moderate–High Projection) • Narrowest base, most projection • Creates: More cleavage Fuller upper pole Rounder “augmented” appearance Best for: • Narrow chest • Patients wanting more visible results

Courageous there is no perfect choice, just options. A wider base mini will give more cleavage and upper pole fullness but less projection than a similar base demi. you just need to decide with your surgeon on your preferred look. You can always modify your appearance with your bra and clothing Augmentation With Breast Implants Breast implants can add significant volume to the breasts and improve asymmetry. There are two main types of breast implants to choose from: silicone and saline. Silicone implants are a more cohesive material, closely mimicking the natural breast tissue. Saline implants contain sterile salt water and have their own benefits, including the option for greater increased volume. Motiva Implants Motiva implants are made of silicone gel and are FDA-approved. They are designed to maintain its shape and structure, reducing the risk of implant rupture. These implants are available in both round and anatomical shapes, as well as various profiles.

Motiva implants outside of the US have RFID chips that contain information about the implant. They are not available in the US.

Struggling to choose size and profile is common without any one answer We currently prefer Motiva ergonomix when posiible . Submammary or subfascial is becoming more common again after decades of submuscular. You have pseudo or glandular ptosis and a moderate style implant should provide a natural lift.

The Motiva breast implants with microchip? These are not available in the US But we like the implants for avoiding these problems: • Animation deformity (implant movement with muscle contraction) • Less natural movement • Increased disruption of normal anatomy • Longer recovery • More discomfort while healing

Motiva ergonomix implants We have performed traditional submuscular and dual-plane augmentation for more than 25 years for the majority of our breast enhancement patients. This has been a reliable method for many years. It involves partially releasing the pectoralis muscle to position the implant. While effective, it can sometimes lead to: • Animation deformity (implant movement with muscle contraction) • Less natural movement • Increased disruption of normal anatomy • Longer recovery • More discomfort while healing Preservation™ breast augmentation takes a different approach. It focuses on maintaining your natural tissue structures and minimizing muscle disruption. For many or our patients, the Preservation™ method can achieve: • More natural look and feel • Better movement with your body • Potentially faster recovery • Less discomfort There are no perfect choices for women competing in fitness competition. Submammary , over the muscle will have less animation , less muscle disruptions . the upper pole may need fat or fat substitute like alloclae to soften this area

Breast implant surgery can always be improved Implant Position Over time, aging, gravity, weight change, and other factors can cause breast implants to shift within the body, leading to an unnatural appearance. This often occurs with certain types of shaped implants. Surgery can reposition or remove the implants to improve the appearance of your chest. Some implants, especially those that are smooth and shaped, may move within the breast pocket, causing a deformed appearance. Sometimes, the implants can shift too close together, causing a ‘uni-boob’ appearance. The displaced implants are repositioned with breast augmentation revision to restore their correct positioning. This may require different implants and the use of mesh to stablize the position