The Piazza Center — Procedures

People holding breast implants

Breast

Breast Implant Options in Austin, TX

Learn about your breast implant options in Austin, TX with board-certified plastic surgeon Dr. Piazza. Silicone, saline, size, and shape explained.

Board-Certified ABPS4.8 · 265 Google Reviews

Recovery Time

Discussed at consultation

Surgeon

Dr. Rocco Piazza II, ABPS

Location

Austin, TX

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, Dr. Rocco Piazza combines the advanced engineering of next-generation implants with his signature tissue-preservation breast augmentation technique, helping results look natural, feel soft, and stand the test of time. Below, Dr. Piazza outlines the differences, benefits, and modern advancements in breast implant options in Austin, so you can make a confident, informed decision about your enhancement.

What’s Changed

Modern implant
technology.

The term “gummy bear implant” is now outdated. The implants Dr. Piazza chooses for patients today are built on three major advances that align with his tissue-preserving approach — less trauma, faster recovery, better feel, and more natural integration.

  1. 01

    Progressive Gel®

    Viscoelastic, highly cohesive gels that move like natural breast tissue — soft when standing, gently flattening when lying down, without losing shape.

  2. 02

    Low-Inflammation Surfaces

    Modern surfaces, such as a SmoothSilk®-type nanotexture, reduce friction, lower tissue response, and help maintain a healthier capsule around the implant.

  3. 03

    Unified Shell & Gel

    Newer implants integrate shell, patch, and gel — as in a TrueMonobloc® design — to improve durability while maintaining soft feel and anatomical behavior.

Material, Shape & Fill Options

Silicone, saline,
round, or anatomical.

01Silicone vs. SalineSilicone gel — modern, cohesive, and viscoelastic — is Dr. Piazza’s go-to, offering a soft feel and natural motion. Saline implants exist but are less frequently selected because they offer less natural behavior in modern practice.
02Round vs. Anatomical (Teardrop)Dr. Piazza considers both, but with modern gels and his preservation technique, a well-chosen round implant often provides excellent upper-pole transition and contour.
03Profile & ProjectionProfile refers to how pronounced the implant projects from your chest wall, and is often chosen based on your aesthetic goal.
Selection Process

How we choose
your implant.

Access to the latest breast implant options in Austin allows Dr. Piazza to begin the selection process based on your anatomy, not the implant catalog. Because when your anatomy is respected, the implant becomes part of you — not something added.

01Breast Base Diameter, Skin Elasticity & Tissue
02Upper vs. Lower Pole Fullness, Nipple-to-Fold Distance
03Body Frame, Posture & Lifestyle
04Desired Feel, Movement & Long-Term Goals
Dr. Rocco Piazza reviewing a breast implant with a patient during a consultation at The Piazza Center

Why It Matters

Modern implants,
real advantages.

  1. 01

    Natural Feel

    The implant behaves like breast tissue — soft, responsive, and integrated.

  2. 02

    Reduced Rippling

    A cohesive gel and low-inflammation surface help achieve smooth contours, even in thinner patients.

  3. 03

    Longer Durability

    Advancements in materials and surgical technique mean many implants last well beyond the old “10-year” mindset.

  4. 04

    Faster Recovery

    With preservation technique and low-trauma devices, many patients are back to work within 3–4 days.

  5. 05

    Looks Undetectable

    When anatomy is preserved, implants don’t “show.” The best results are the ones no one can tell were done.

FDA Approved 2024
A Closer Look

Motiva®
Implants.

Motiva implants are engineered in Costa Rica by Establishment Labs, founded in 2004 and launched worldwide in 2010. In 2024, Motiva SmoothSilk® Round and SmoothSilk® Ergonomix® Silicone Gel Breast Implants received FDA approval for aesthetic indication. ProgressiveGel Ultima prioritizes a natural, soft feel that mimics real tissue movement, the Ergonomix design adapts to your posture, and TrueMonobloc technology chemically bonds gel and shell into a single, more durable structure.

  • SilkSurface®
  • TrueMonobloc®
  • BluSeal Barrier

Motiva vs. Natrelle

Which Implant Technology Is Right for You?

As your board-certified plastic surgeon in Austin, Dr. Piazza understands 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 — his job as a surgeon is to help you decide which will help you reach your desired aesthetic outcome.

Feature Motiva SmoothSilk® Ergonomix® Natrelle INSPIRA® SoftTouch
Ideal Patient Patients seeking a natural, soft, 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 TrueMonobloc® & BluSeal gel bleed barrier Proven safety record & Intellishell™, <1% gel diffusion rate

Natrelle implants, manufactured by Allergan, have a long-standing reputation for safety and quality; Natrelle Inspira SoftTouch received FDA approval in 2017 and is currently the #1 selected breast implant portfolio in the US. Ultimately, the best implant for you depends on your individual needs and preferences — by understanding the unique features of each option, you can make an informed decision and achieve the results you envision.

Safe Decision Making

Important
considerations.

01Implants Are Medical DevicesDr. Piazza will review implant-specific information and a patient decision checklist with you, per American Society of Plastic Surgeons guidance.
02Monitoring MattersEven with modern implants, regular breast health screening remains essential — see the Mayo Clinic’s guidance on breast augmentation.
03Your Body Ages Around the ImplantChanges in weight, pregnancy, or skin quality may still affect shape and comfort over time.
04Revision Is Not FailureIf your goals evolve, or older implants no longer suit your anatomy or lifestyle, revision is a valid option.

Investment

Cost & financing.

Cost depends on the implant type, size, and technique you and Dr. Piazza select together. Cosmetic breast augmentation is typically not covered by insurance, though reconstructive procedures after mastectomy may be. Dr. Piazza provides a comprehensive estimate after your consultation, and flexible financing is available through Cherry, CareCredit®, and PatientFi.

When anatomy is preserved, implants don’t show — the best results are the ones no one can tell were done.

Dr. Rocco C. Piazza II

Dr. Rocco C. Piazza II, MD, FACS

Get Started

Begin Your Consultation

Ready to explore the possibilities? At The Piazza Center, Dr. Piazza will help you understand which implant suits your anatomy and goals, how the tissue-preservation breast augmentation technique enhances long-term outcomes, and what your realistic recovery and results will look like.

Schedule a Consultation
The Surgeon

Rocco C.
Piazza II

Dr. Rocco Piazza is a board-certified plastic surgeon in Austin, TX, who selects and pairs breast implants — Motiva, Natrelle, silicone, saline, round, or anatomical — based on each patient’s anatomy, not a catalog, combining modern implant technology with his signature tissue-preservation technique. With a lifelong passion for aesthetic surgery, he is dedicated to helping each patient achieve their ideal look while promoting a holistic approach to overall health and wellness.

At The Piazza Center, Dr. Piazza prioritizes exceptional patient care and results, creating lasting relationships with his clients.

16Years Solo
6Preceptorships
14Honors & Awards
  • Board Certified in Plastic Surgery by the American Board of Plastic Surgery
  • M.D., Alpha Omega Alpha, University of Texas Medical Branch, Galveston, Texas
  • Recognized as a Top Doctor on RealSelf
  • Recipient of the Doctor’s Choice Award for Plastic Surgery
  • Published author with significant contributions to the field of plastic surgery literature
Meet the Surgeon
Dr. Rocco C. Piazza II, plastic surgeon Austin TX Rocco C. Piazza II — MD, FACS · Founder, The Piazza Center

FAQ

Frequently Asked Questions.

Still have questions specific to your body and goals? Dr. Piazza addresses them one-on-one during your private consultation.

Schedule a Consultation

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

Ready to Get Started?

Schedule Your Consultation with Dr. Piazza

Every patient deserves individualized care. Meet with Dr. Piazza to discuss your specific goals and develop a plan tailored to you.

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