Motiva® Breast Implants
Miami, FL
For decades, breast augmentation surgery forced women to make a compromise. You could choose a round implant for fullness, but you risked looking "fake" when you lay down because the implant stays perfectly round. Or, you could choose an anatomical (teardrop) implant for a natural shape, but you risked it feeling firm or rotating inside the chest.
They were static. They were fixed objects sitting on top of your chest wall. Natural breast tissue doesn’t act like that. It’s dynamic. It shifts when you run. It flattens when you sleep. It pools when you recline. And so do Motiva Implants.
Dr. Alexander Zuriarrain champions Motiva implants because they are the first device to truly solve this physics problem. Instead of a stiff, rubbery solid, these implants use a flowable gel that adapts to your position in real-time. This creates what we call the "Soft Cleavage" aesthetic, a look defined by how naturally the breast moves, rather than just how much it projects.
For Miami patients who want to enhance their silhouette without that "obviously done" look, this technology changes the baseline of what’s possible in cosmetic surgery.
We used to think of augmentation as a volume procedure. You pick a size (cc); we create a pocket; we fill the space. Breast preservation changes the conversation entirely. It reframes the surgery as a tissue-sparing procedure.
The goal is simple: achieve your ideal breast appearance while messing with your natural anatomy as little as possible. Dr. Alexander Zuriarrain uses a specific "minimal-touch" protocol designed to protect your connective tissue, nerves, and blood supply.
It starts with how the implant gets in.
In traditional methods, surgeons often have to push and manipulate the implant significantly to force it through the incision. That friction stresses the skin's elasticity and increases the chance of the implant touching your skin, which, even when cleaned, harbors bacteria.
Dr. Zuriarrain uses a closed-system delivery. He uses a sterile sleeve to guide the Motiva implant directly into the breast pocket. It glides in effortlessly. It never touches your skin. It never touches the surgeon’s gloves. This greatly reduces the risk of contamination and adverse effects. Motiva implants also act like natural tissue, as the gel is affected by gravity. They're some of the most realistic implants available.
Choosing an implant is a big decision, and it’s normal to feel overwhelmed by the specs. Motiva stands out because it focuses on biocompatibility, making sure your body accepts the device rather than fighting it.
The biggest advantage is the "peace of mind" engineering built into the shell and the gel.
To understand why Motiva is different, you have to look at where we came from. For years, the market was dominated by devices that hadn't changed much since the 90s. Establishment Labs, the creators of Motiva, approached the problem differently. They didn't just want a better shape; they wanted better biology.
This focus on bioengineering earned them an innovation award and has made them a global leader in breast health technology.
For a long time, the industry used "textured" surfaces—rough, sandpaper-like shells—to keep implants in place. Recent research, including studies in Nature Biomedical Engineering, suggests that aggressive texturing can provoke a chronic inflammatory response. Your body creates a thicker scar (capsule) to wall off the irritant.
Motiva solved this with SmoothSilk® / SilkSurface®.
This isn't a traditional smooth implant, and it's not a textured one. It uses a controlled surface topography created by 3D printing technology, not by scrubbing the shell with salt or sugar (which is how old textures were made).
This nano-surface is designed to be "stealthy." It minimizes the foreign body response. Instead of fighting the implant, your body tends to accept it, forming a thin, flexible capsule. That flexibility is the secret to a natural feel that lasts for years, reducing the risk of capsular contracture (the hardening of the breast).
The main reason Motiva Implants feel different is the chemistry inside.
Most traditional silicone breast implants use a stiff, cohesive gel. Imagine a gummy bear. If you push on it, it bounces back to its original shape immediately. That’s great for form stability, but it’s why some implants look the same whether the patient is standing or doing yoga.
Motiva Ergonomix implants utilize ProgressiveGel Ultima®.
This gel is highly elastic. It flows.
When you stand, the gel shifts to the bottom, creating a natural slope and fullness in the lower pole. When you lie back, the gel redistributes toward the armpit and chest wall, mimicking the behavior of natural breast tissue perfectly.
This ability to mimic real tissue dynamics is what makes many women choose Motiva over traditional options. It creates natural-looking results that don't feel like foreign objects.
"Cleavage" is often misunderstood. In the pop-culture version of plastic surgery, people often think good cleavage means a tight, deep vertical line between the breasts. But in the surgical world, a hard, pressed-together look often signals an implant that is too wide or too stiff.
Soft cleavage is different. It refers to medial fullness without the "step-off."
Because Ergonomix implants are filled with that flowable gel, they settle closer to your midline without creating a rigid bridge. You get a gentle shadow that deepens when you wear a bra but relaxes naturally when you take it off. It allows for a décolletage that looks inherent to your frame—providing subtle augmentation that looks like you were born with it.
Motiva Implants are versatile, but they are particularly suited for specific patient goals. During your consultation, Dr. Zuriarrain will help determine if this technology aligns with your anatomy.
This might be your best option if:
It might not be for you if:
Getting ready for surgery isn't just about picking a date. It's about mental and physical prep. Dr. Zuriarrain wants you to walk into the operating room feeling calm and informed. This is the first step in a safe recovery.
Dr. Zuriarrain doesn't guess. During your visit, you won't just look at photos. You’ll use physical sizers to see how different volumes actually look on your frame. You’ll talk about your lifestyle to make sure the Motiva profile fits your life, not just your bra cup.
Before surgery, we’ll run standard tests to ensure you’re healthy for anesthesia. You’ll need to pause certain supplements (like fish oil or Vitamin E) and strictly avoid nicotine, as these can affect bleeding and healing. We will send your medications to the pharmacy beforehand. Pick them up before your surgery day so you aren't waiting in line when you just want to go home. Make sure to arrange for a friend or partner to drive you home and stay with you for the first 24 hours.
The surgery happens right here in our private, accredited surgical center in Miami, where we prioritize privacy and clinical precision.
The procedure typically takes about 60 to 90 minutes. Dr. Zuriarrain utilizes the "No-Touch" technique we mentioned. He places the incisions strategically.
Inframammary
Fold Hidden in the crease under the breast (most common).
Periareolar
Along the edge of the areola.
Transaxillary
Through the armpit, leaving no scar on the breast itself.
Because the implant is placed effectively without trauma, there is typically less bruising than you might expect.
Because the breast revision and preservation approaches are so gentle on your tissues, the recovery timeline is often smoother than patients anticipate.
Safety is not a passive concept. Dr. Zuriarrain selects Motiva because the manufacturer has engineered active safety checks into the device itself.
Cost of Motiva® Implants
We know price matters, but we also know that cookie-cutter pricing doesn't work for surgery. The cost of Motiva augmentation reflects the advanced technology of the device and the expertise required to place it safely.
What goes into the quote:
We don’t do hidden fees. You’ll get a clear, detailed quote at your consultation. If you want to break it up, we work with financing partners to offer manageable monthly payment plans.
The implant is just a tool. The surgeon is the architect.
Dr. Alexander Zuriarrain is a Triple Board-Certified Plastic Surgeon. That’s a rare level of training that covers general surgery, cosmetic surgery, and reconstructive surgery. He understands anatomy from the inside out.
He is an active participant in the upcoming PRESERVE course, an elite training initiative focused on breast preservation and the latest protocols for SmoothSilk technology.
In a city like Miami, where plastic surgery is everywhere, Dr. Zuriarrain stands out by keeping it real. He doesn't sell a "look." He engineers a result that fits your body, ensuring you look like the best version of yourself.
You know that you don’t want "obvious." You want natural, fluid, and safe. You want results that respect your anatomy rather than overpowering it.
At Zuri Plastic Surgery, we do more than simply book surgeries. We build plans. When you sit down with Dr. Alexander Zuriarrain, you aren't just another slot on the schedule, you're a partner in the process. Together, we will map out a result that fits your frame, your lifestyle, and your goals.
Don't settle for "good enough." Choose the best technology and the best hands.
Call 786.804.1603 today to book your consultation, or request your consultation online. We look forward to welcoming you to our Miami practice.
Yes. After extensive clinical trials involving many women across the US, Motiva Implants have received FDA approval. They have been used globally in over 80 countries for more than a decade with an exceptional safety record.
Yes, but balance is key. Soft cleavage works best when the implant fits your chest width. If we go too wide for your frame, it can look forced. Dr. Zuriarrain will measure you to make sure that even larger breast size options slope naturally.
This is a common question regarding the Qid® microchip. The microchip is a passive RFID device. It does contain a tiny amount of ferrite (like many medical devices), but it is considered "MRI conditional," meaning it is safe for MRI scans under standard medical protocols. It is not a magnet that will set off airport security.
With SmoothSilk implants, aggressive massage is usually a no-go. The surface is designed to integrate gently on its own. Dr. Zuriarrain will give you a cheat sheet on what to do (and what not to do) as you heal.
Yes. The breast preservation approach keeps your milk ducts and glands intact. Dr. Zuriarrain typically places the implant under the muscle, which is the gold standard for protecting your ability to breastfeed later on.
Every surgery has risks. With breast augmentation, these can include infection, bleeding, scarring, or changes in nipple sensation. Complications like capsular contracture or rupture are possible with any implant, though Motiva’s design specifically aims to reduce these occurrences. Dr. Zuriarrain will discuss these transparently during your visit.
Get a one on one consultation with Dr. Z in his beautiful practice in Miami, FL
7540 SW 61 Ave, South Miami, FL 33143
Alexander Zuriarrain, MD, FACS is a Quadruple Board-Certified Plastic Surgeon who practices in Miami, Florida.
© 2026 Zuri Plastic Surgery. All Rights Reserved | Sitemap | Privacy Policy | Our Pet Policy | Terms & Conditions | HIPAA Privacy Notice | Accessibility
Join quadruple board-certified plastic surgeon Dr. Alexander Zuriarrain at his beautiful practice in Miami for a consultation. With more than 8,000 surgeries performed, Dr. Z has the skills and the experience to provide you with beautiful results.
Individual results will vary. No guarantee is stated or implied by any photo on this website. Testimonials on this site reflect individual, real life experiences of those who have used our products and/or services and are strictly the views of the reviewer.
Diplomate of the American Board of Plastic Surgery
Diplomate of the American Board of Surgery
Diplomate of the American Board of Cosmetic Surgery*
Diplomate of the American Board of Facial Cosmetic Surgery*
*The specialty recognition identified herein has been received from a private organization not affiliated with or recognized by the Florida Board of Medicine. The American Board of Cosmetic Surgery is a certifying board recognized by the American Board of Physician Specialties (ABPS), a nationally recognized medical specialty certifying organization requiring one year of cosmetic surgery training along with both a written and oral examination.
*If you would like to learn more about our privacy policies, please contact us at [email protected]
