Breast Implant Options Overview

Modern Implants + Tissue-Preserving Technique 

Choosing the right breast implant isn’t just about size, it’s about smart selection, modern technology, and the surgical technique you pair it with. At The Piazza Center, we combine the advanced engineering of next-generation implants with our signature tissue preservation breast augmentation technique, ensuring results that look natural, feel soft, and stand the test of time.

On this page, you’ll find expertly curated guidance from Dr. Piazza outlining the differences, benefits, and modern advancements in breast implant options in Austin, helping you make confident, informed decisions about your enhancement.

What’s Changed in Implant Technology?

The term “gummy bear implant” is now outdated. The implants we choose for patients today are built on three major advances:

  • Progressive Gel®: These are viscoelastic, highly cohesive gels that move like natural breast tissue—so your breast looks soft when standing, gently flattens when lying down, and maintains shape without firmness.
  • Low-Inflammation Surfaces: Modern surfaces (for example, a SmoothSilk®-type nanotexture) reduce friction, lower tissue response, and help maintain a healthier capsule around the implant.
  • Unified Shell/Gel Construction: Newer implants integrate shell, patch, and gel (e.g., TrueMonobloc® design) to improve durability while maintaining soft feel and anatomical behavior.

These technologies align perfectly with our tissue-preserving approach: less trauma, faster recovery, better feel, and more natural integration.

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How We Choose Your Implant

At The Piazza Center, our access to the latest breast implant options in Austin, allows us to begin the selection process based on your anatomy, not the implant catalog. Your consultation covers:

  • Breast base diameter, skin elasticity, existing breast tissue
  • Upper pole vs. lower pole fullness, nipple-to-fold distance
  • Your body frame, posture, lifestyle & how you want to wear your results
  • Desired feel, movement, and long-term goals

From that, we select the optimal implant material, shape, profile, and size, all within the framework of preservation. Because when your anatomy is respected, the implant is part of you, not something added.

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Material, Shape & Fill Options

Material

  • Silicone gel (modern cohesive/viscoelastic) is our go-to; offers soft feel and natural motion.
  • Saline options exist but are less frequently selected because they offer less natural behavior in modern practice.

Shape & Profile

  • Round vs. Anatomical (teardrop): We consider both, but with modern gels and preservation technique, a well-chosen round implant often provides excellent upper-pole transition and contour.
  • Profile refers to how pronounced the implant projects from your chest wall and this is often times chosen based on your aesthetic goal. 

Placement & Pocket

  • Our technique uses a pre-pectoral or sub-fascial pocket, when appropriate, avoiding muscle disruption and promoting natural motion.
  • The pocket is created using atraumatic, low-heat methods, preserving ligaments and fascia around the breast.

Why These Modern Implants + Technique Matter

  • Natural feel: The implant behaves like breast tissue, soft, responsive, and integrated.
  • Reduced ripple and visible edges: Because the gel is cohesive and the surface low-inflammation, even in thinner patients we can achieve smooth contours.
  • Longer durability: Advancements in materials and the surgical environment mean many implants last far beyond the “10-year” mindset.
  • Faster recovery: With preservation techniques and low-trauma devices, many patients are back to work within 3–4 days.
  • Looks undetectable: When anatomy is preserved, implants don’t “show.” The best results are the ones no one can tell were done.
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Motiva vs. Natrelle: Which Implant technology is right for you?

As your board-certified plastic surgeon in Austin, TX, I understand the importance of choosing the right breast implant to achieve your desired results. Both Motiva and Natrelle Inspira SoftTouch are excellent options, each with its own unique advantages.

Let's delve into the details of breast implant options in Austin, to help you make an informed decision. While these are both incredible breast implant technologies, my job as a surgeon is to help you decide which will help you reach your desired aesthetic outcome.

Motiva: A Closer Look

Motiva implants are created in Costa Rica at Establishment Labs, a state-of-the-art engineering facility that adheres to the highest environmental laws and standards. This company was founded in 2004 and launched their devices worldwide in 2010. In 2024, Motiva Smoothsilk® Round and Smoothsilk® Ergonomix® Silicone Gel Breast Implants received FDA approval for aesthetic indication.  

Every device is vetted for safety, comfort, and quality, setting the bar for excellence in the implant device industry.

  1. Natural Feel and Movement: Motiva implants, with their ProgressiveGel Ultima, prioritize a natural, soft feel that mimics the movement of breast tissue. Their Ergonomix design adapts to your posture, offering a dynamic and natural look.
  2. Advanced Technology: Motiva boasts advanced technology with the SilkSurface, a smooth surface designed to reduce capsular contracture. 
  3. True MonoBloc Technology: The gel and shell are chemically bonded to create a single structure with the same rheological characteristics. This makes the shell as soft and elastic as the gel, and improves the implant's mechanical performance.  
  4. BluSeal gel bleed barrier: is a light blue, biocompatible barrier layer on Motiva breast implants that enhances safety by providing visual confirmation of shell integrity, reducing the risk of gel leakage or rupture.
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Natrelle INSPIRAⓇ SoftTouch: A Closer Look

A Brief History of Natrelle

Natrelle implants, manufactured by Allergan, have a long-standing reputation for safety and quality. Allergan has been a pioneer in breast implant technology, consistently introducing innovative products and technologies. Natrelle Inspira SoftTouch implants are the latest evolution in breast implant design receiving FDA approval in 2017. This device offers a blend of natural aesthetics and advanced technology.

  1. Balanced Feel: Natrelle Inspira SoftTouch strikes a balance between softness and firmness, providing a more youthful appearance with upper pole fullness.
  2. Consistent Shape: These implants maintain a consistent round shape, offering a predictable and defined look.
  3. Proven Safety: Natrelle has a long history of safety and utilizes an Intellishell to prevent gel leakage and is currently the #1 selected breast implant portfolio in the US in 2023
  4. INTRASHIEL:  Shell Technology providing a barrier layer which minimizes gel diffusion through the shell (<1% gel diffusion rate)
Feature  Motiva Smoothsilk® Ergonomix® Natrelle INSPIRAⓇ SoftTouch
Ideal Patient Patients seeking a natural, soft, and adaptive feel with advanced technology. Patients desiring fuller upper breasts or a natural shape with a balance of softness and firmness.
Feel Softer, more natural Balanced between soft and firm
Shape Adapts to posture Consistent round shape
Technology Advanced microchip technology Proven safety and Intellishell

Ultimately, the best implant for you depends on your individual needs and preferences. By understanding the unique features and benefits of each option, you can make an informed decision and achieve your desired results.

Be sure to take a look at some of my incredible transformations in The Piazza Center’s before and after gallery. 

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Woman's profile and a beautifully defined breast after breast augmentation surgery

Important Considerations & Safe Decision Making

  • Implants are medical devices: Your surgeon will review implant-specific information and a patient decision checklist. American Society of Plastic Surgeons+1
  • Monitoring matters: Even with modern implants, regular breast health screening is essential. Mayo Clinic
  • Your body ages around the implant: Changes in weight, pregnancy, or skin quality may still affect shape and comfort.
  • Revision is not failure: If your goals evolve, or if older implants no longer suit your anatomy or lifestyle, revision is a valid option.
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Begin Your Consultation

Ready to explore the possibilities? At The Piazza Center, we’ll help you understand:

  • Which implant suits your anatomy and goals
  • How our Tissue Preservation Breast Augmentation technique enhances long-term outcomes
  • What your realistic recovery and results look like

Schedule a private consultation today, and let us guide you towards a breast implant option in Austin that respects your body, protects your future, and looks like it was meant to be.

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FAQ

Does insurance cover breast implants?

How long do breast implants typically last?

Are there risks associated with breast implants?

Does insurance cover breast implants?

Cosmetic breast augmentation is typically not covered, but reconstructive procedures after mastectomy may be.

How long do breast implants typically last?

Implants can last 10 to 20 years but may require replacement depending on wear or personal preference.

Are there risks associated with breast implants?

Like any surgery, there are risks such as capsular contracture, rupture, or infection, which your surgeon will discuss.

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