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Breast Implants Wichita: Motiva Preservé vs Proven Options



Woman holding a silicone breast implant while discussing breast implant safety and placement in Wichita

If you’ve been researching breast implants in Wichita, you’ve probably noticed there’s a lot of buzz around implant brands—especially Motiva Preservé. Add in different placement options and surface types, and things can get confusing fast.


Our goal here isn’t to sell you on a trend. It’s to help you understand why certain choices matter long-term, and why we’ve made very deliberate decisions about what we offer at Plastic Surgery Wichita.


Our practice philosophy is simple:

  • We use only smooth surface silicone implants

  • We use only Allergan and Sientra

  • We place implants behind the muscle (submuscular placement) exclusively

We’ll also explain why we do not offer Motiva Preservé, even though you may see it frequently online.


Breast Implants in Wichita, Simplified

Think of breast implants less like an accessory and more like structural support. They don’t just add volume—they interact with your tissue, your muscle, and your body for decades.

Silicone implants, which we specialize in, are designed to closely mimic natural breast tissue. When placed behind the muscle, the implant is covered by an extra layer of support. That coverage helps soften edges, reduce visible rippling, and create a more natural contour—especially important if you’re active, thin, or planning long-term results.

It’s similar to placing insulation behind drywall instead of leaving it exposed. The result looks cleaner, functions better, and holds up longer.


Smooth vs Textured Implants: Why Surface Matters

One of the most important distinctions in implant choice is surface type.

Textured implants have been linked to a rare cancer known as BIA-ALCL (Breast Implant–Associated Anaplastic Large Cell Lymphoma). While the overall risk is low, the data is consistent:The vast majority of documented BIA-ALCL cases worldwide have occurred in patients with textured implants.


Smooth implants, by contrast, have shown a significantly lower association with this condition. The difference comes down to how the body responds over time. Textured surfaces are designed to “grip” surrounding tissue. That ongoing friction can stimulate chronic immune activity in some patients. Smooth implants don’t engage tissue that way—they glide rather than cling. From a safety standpoint, smooth implants give us excellent aesthetic outcomes without introducing a known risk category. That’s why we’ve committed to them exclusively.


Why We Trust Allergan and Sientra

Both Allergan and Sientra have something in common that matters far more than marketing claims: long-term clinical data These implants have been studied for decades, with clearly documented outcomes, complication rates, and safety profiles. Their smooth silicone implants perform exceptionally well when placed behind the muscle, offering predictable healing and durable results. If you think of implant choice like choosing a vehicle, these aren’t flashy concept cars—they’re models that have been driven millions of miles, in real conditions, with extensive safety records behind them. That history matters when you’re making a decision that affects your body for the rest of your life.


Where Motiva Preservé Fits Into the Conversation

Motiva Preservé is newer to the U.S. market and often promoted as “next-generation.” It uses a nano-textured surface and is typically placed in front of the muscle.

You may read that there have been no documented cases of BIA-ALCL associated with Motiva implants so far. That’s true—but context matters. BIA-ALCL can take 8 to 10 years or longer to develop. Because Motiva has not been on the U.S. market nearly as long as Allergan or Sientra, the absence of cases doesn’t yet tell us what the long-term risk truly is.

It’s a bit like saying a newly built bridge has never cracked—if it hasn’t been through enough winters, you simply don’t know yet. Additionally, even nano-texture is still texture. And current research continues to point toward surface texturing as the common thread in BIA-ALCL cases. Until long-term data proves otherwise, we choose not to expose patients to that uncertainty when safer, proven options already exist.


Why Implant Placement Matters for Breast Health

Another key difference is placement. Motiva Preservé is designed almost exclusively for over-the-muscle placement. While that may be appropriate in select cases elsewhere, our practice favors behind-the-muscle placement for important health reasons.

Submuscular placement allows radiologists to better visualize breast tissue during mammograms. It reduces interference with imaging and makes ongoing breast cancer screening more effective. Your implants shouldn’t complicate your ability to monitor your breast health. We believe they should quietly do their job in the background, not make detection harder down the road.


The Takeaway: Proven Safety Beats Trendy Innovation

Motiva Preservé may be newer. Allergan and Sientra are better studied.

At Plastic Surgery Wichita, we’ve chosen an approach grounded in:

  • Smooth surface implants

  • Long-term clinical data

  • Behind-the-muscle placement

  • Prioritizing breast health and cancer detection

We’re not interested in being early adopters at the expense of patient safety. Your body isn’t a testing ground—and your long-term health always comes first.


Considering Breast Augmentation in Wichita?

If you’re researching breast implants and want clear, honest guidance—without sales pressure—we’re here to help. During your consultation, we’ll walk through implant options, placement decisions, and what’s best for you, not what’s trending online.

Because confidence starts with trust—and trust starts with transparency.

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Dr Rieger Plastic Surgery in Wichita Kansas. Specializes in breast implants and rhinoplasty surgery as well as all cosmetic surgery of the face, breast and body. Dr. Rieger has provided the content of this website for informational purposes only. The website is not intended to provide medical advice nor does it constitute a doctor/patient relationship. Please see HIPPA/privacy, email, texting, communication, and legal statements

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