Will Motiva Joy Demi, over muscle, 170cc implants help me achieve the natural result I desire?

Question

Hi all! I am due to have a BA in January with Motiva Joy Demi profile 170cc over the muscle. I am concerned that they will look like two balls on my chest as I have very little tissue. Although surgeon has stated that I have enough to have them over the muscle. I showed images of Kendall Jenner for my ideal goals (very natural) I am 170cm and 54kg. I would really appreciate it if you could reassure me and give me your opinions on whether these implants will give me my desired result? Thank you!

Daniel Barrett, MD · Answer

Dear alex12384,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

I prefer the smooth round implants for better long-term results and fewer risks. I also recommend placing the implants behind the muscle for best upper breast fullness and hiding the implant edge, so you don't have the look of balls stuck on your chest.

Pawel Szychta, MD, PhD, DSc · Answer

With 170cc Motiva Joy Demi profile implants placed over the muscle, you're likely to achieve the natural look you desire. The small implant size and moderate profile offer subtle enhancement without creating an overly round or "ball-like" appearance. Since your surgeon believes you have enough tissue for over-the-muscle placement, this should help maintain a natural contour. By clearly communicating your goals with your surgeon, you're on track to achieve a result similar to your inspiration, ensuring a proportionate and natural outcome.

Mauricio Castano, MD · Answer

Hi, Motiva profile and texture offers a very natural look, with that profile and size I wouldn't worry about a "fake" or "2 stiff balls" result , In my opinion I will also suggest a Hybrid BA to camouflage the upper pole of the implant and give more fullness into the cleavage without losing what you want, a natural look.

Ali Arnaout, MBChB, FRCS(Plast) · Answer

Hi
That’s a conservative size, that should give a more subtle enchantment. The other option to consider is the MIA implants which are Motiva ergo2 diamonds that give more of a natural appearance considering their unique gel properties

Camille Cash, MD · Answer

You are considering a conservatively sized implant which should result in a nice, naturally sized enhancement.  You may consider having them placed under the muscle if you have minimal tissue as the muscle will provide camouflage for the upper outer portions of the implant.  In addition, implants placed under the muscle have a lower incidence of capsular contracture.

Mats Hagstrom, MD (license on probation) · Answer

Breast augmentation outcomes are based on three variables.
The first variable is the patient’s candidacy for the procedure.The second variable is implant selection in regards to shape size and type.
The third variable is the surgeons ability to put the implant in the correct anatomic location.
In your case your breast sit wide on your chest wall.
The surgeon cannot move the position of your breast.
Your breast is going to be amplified with the projection of the implants.
Look at before and after pictures of previous patient who also had wide spaced breast from the midline.
Another variable that’s important to understand is breast divergence. divergence is also amplified with the projection of the implant.
Personally, I prefer to put the implants under the pectoralis muscle, and this becomes more important if there is less tissue coverage.
The biggest advantage to going above the Pectoralis muscle is that it is a much easier surgical dissection.
I suggest having multiple in person consultations with plastic surgeons in your community.
During each consultation, bring pictures of your breast to use as reference.
Ask the provider to open up their portfolio and show you their entire collection of before and after pictures of previous patients had similar body characteristics to your own.
In your case, this means seeing what results look like on other patients who had breast that sit far apart on the chest wall.
This is really important to understand in order to understand what your results will look like. Best,
Mats Hagstrom MD

Will Motiva Joy Demi, over muscle, 170cc implants help me achieve the natural result I desire?

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