Breast Augmentation

Breast augmentation using silicone or saline implants, or autologous fat transfer, performed by Dr. Gary Motykie at his Beverly Hills-adjacent practice. Incision options include inframammary, periareolar, and transaxillary approaches. Implant placement above or below the pectoral muscle is determined at consultation. Dr. Motykie's 'Ballerina Breast Augmentation' technique focuses on a natural, proportionate result rather than an overtly augmented look.

Breast augmentation at Motykie Plastic Surgery is tailored to each patient's body proportions, existing breast tissue, and aesthetic goals, with Dr. Gary Motykie placing emphasis on natural-appearing, proportionate results. The practice offers both silicone gel implants — valued for their natural feel and the ability to achieve a soft result in patients with thin overlying tissue — and saline-filled implants, which require a smaller incision as the shell is inserted empty and filled to the desired volume in situ, and which offer the option of post-operative volume adjustability. Three incision approaches are available depending on the patient's anatomy and scar preferences: the inframammary incision (in the fold beneath the breast, the most common approach, offering excellent visualisation and access), the periareolar incision (around the lower border of the nipple-areolar complex, concealed within the colour transition), and the transaxillary incision (in the armpit crease, leaving the breast itself entirely scar-free). Implant placement is determined at consultation: subglandular positioning (above the muscle) preserves the pectoral muscle's full function and produces immediate fullness in patients with adequate existing tissue; submuscular (below the pectoralis major) or dual-plane positioning reduces the risk of visible implant rippling in thin patients and may be preferred for a more natural upper-pole appearance. Dr. Motykie's 'Ballerina Breast Augmentation' is his named approach for patients seeking a refined, ballet-dancer aesthetic — a subtle enhancement that complements the natural body contour without an overtly augmented profile. For patients who prefer to avoid implants, autologous fat transfer breast augmentation is also offered, harvesting excess fat from the abdomen or flanks via liposuction and injecting refined fat grafts into the breast for a modest, entirely natural volume increase. Recovery typically involves three to five days of limited activity and return to most routine activities within two weeks.