At The Center for Cosmetic Surgery in Denver, Colorado, breast implants can be placed beneath the pectoralis (chest) muscle, called subpectoral placement, or in front of the chest muscle, called subglandular placement. There are several advantages to placing the implants beneath the chest muscle, including:
- The extra coverage of the implant in the upper portion of the breasts assists in achieving a more natural contour and appearance.
- The implant is also less likely to be as palpable in the position under the muscle.
- There is maximal preservation of the nerves that supply nipple sensation.
- There is evidence that capsular contraction (heavy scar tissue forming around the implant) is reduced.
- There is less interference with mammography because the implant is partially separated from the breast tissue by the muscle.
For these reasons, we generally feel that it is advantageous to place breast implants below the muscle for breast augmentation; however, recent advances in breast implant technology may upend much of this accepted dogma and change augmentation surgery trends.
Motiva® Breast Implants
In October of 2024, the FDA approved Motiva breast implants. (The Center for Cosmetic Surgery is a Motiva FDA trial location). These implants differ from the implants used in the U.S. for the past 30 years. Although new to the U.S., these Motiva implants have been in use in 83 countries for the past 10 years, with more than 4 million implanted devices.
There are several key advances in their design. The surface of Motiva implants is a proprietary 4-micron “SilkSurface” designed for increased biocompatibility. Indeed, several studies have shown very low levels of fibrosis and inflammation around these implants. This increased compatibility leads to very low capsular contracture rates for these devices. Importantly, the low capsular contracture rates appear to be consistent in both subpectoral and prepectoral planes.
The mechanical properties of the shell and the gel and their interaction as a “True Monobloc” construction lead to low rupture rates, natural feel, and low incidence of rippling. Given these advances, Motiva implants behave well in all surgical planes and afford patients more flexibility in choosing an implant plane. The only real limitation to pre-pectoral placement is now a very thin soft tissue envelope that may favor more muscle coverage. The 3-year FDA trial data (the publication of which was coauthored by a CCS surgeon who is also a Primary Investigator in the ongoing FDA trials) can be seen here. It shows capsular contracture rates of less than 1% in primary augmentations and very low rupture and rippling rates. Our surgeons have more experience with Motiva implants than anyone else in the entire Mountain West region.
The Center for Cosmetic Surgery has two offices conveniently located in the Denver metropolitan area. One is located just outside of Denver in lovely Golden, Colorado immediately off 6th Ave West and the other is located downtown in Cherry Creek, Denver. Please schedule a personal consultation to learn what plastic surgery can do for you. Simply call (303) 278-2600 or request your consultation online.
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