Breast Revision with Motiva SmoothSilk® Implants, Galaflex®, and Fat Grafting

This middle-aged woman previously underwent a submuscular (under the muscle) breast augmentation but was unhappy with the results. She experienced pectoralis animation deformity — a condition where the breast implants move unnaturally every time the chest muscles flex. In addition, she developed capsular contracture, a hardening and distortion of the implants due to scar tissue.

Dr. Salvatore Pacella, a board-certified plastic surgeon specializing in complex revision breast surgery, performed a complete implant removal with capsulectomy, eliminating the distorted capsule. To restore a more natural shape and reduce animation, the new implants were placed above the muscle (prepectoral plane) for better aesthetics and improved comfort.

He used Motiva SmoothSilk® Round Full Profile 375cc implants, known for their ultra-soft, natural feel and smooth, durable shell. These next-generation implants are ideal for patients seeking soft, youthful contours with refined cleavage. To support the new implant position and prevent future sagging or migration, Dr. Pacella used Galaflex®, an absorbable mesh scaffold, which integrates with the body’s tissue for long-term stability.

Additionally, about 80cc of fat was transferred to the inner breast and cleavage zone—a technique known as lipo-filling—to soften contours, blend implant edges, and create a fuller, more natural-looking décolletage.

Her results show beautifully sculpted, symmetrical breasts with enhanced cleavage, a soft feel, and no visible signs of prior complications. This advanced revision approach highlights the power of modern implant technology and thoughtful aesthetic planning.