<\/p>\n
The women who book a consultation with New York plastic surgeon Anna Steve, MD aren\u2019t asking to go bigger. Most want back what they lost.<\/p>\n
Dr. Steve, who specializes in small-volume breast enhancement and joined NewBeauty\u2019s first State of Aesthetics<\/em> Roundtable in New York as a guest of Motiva, doesn\u2019t prescribe GLP-1s. \u201cBut probably more than 80 percent of my patients are on a GLP-1,\u201d she said. Most of them aren\u2019t patients with obesity. \u201cI see patients who are mostly BMI 21 and less,\u201d she said, and many take the medication for aesthetic reasons.<\/p>\n<\/div>\n The breast changes Dr. Steve sees after GLP-1 weight loss look a lot like postpartum changes, just earlier. For many women, they\u2019re the latest in a series of losses. \u201cI see patients who are in their perimenopausal years who maybe didn\u2019t have as much volume loss with pregnancy and breastfeeding, but they almost get a second hit with perimenopause, and then a third hit with GLP-1,\u201d she said.<\/p>\n That changes the goal of surgery itself. \u201cIt \u2019s not implants to be bigger; it\u2019s implants to restore the volume loss,\u201d Dr. Steve said. It\u2019s a story NewBeauty readers have heard firsthand from women describing their own breast restoration after GLP-1 weight loss.<\/p>\n The industry is moving in the same direction. \u201cWe\u2019re seeing the shift towards smaller volume implants,\u201d said Malavika William, who leads global corporate communications and marketing at Establishment Labs, the maker of Motiva implants. She pointed to two looks gaining ground: \u201cThe ballerina breast and the yoga breast is very much on trend.\u201d<\/p>\n Motiva has built its range around that kind of subtle result. In October, the FDA approved 28 additional sizes of smaller Motiva implants, going as small as 105 cc, across its SmoothSilk Round and Ergonomix styles. The Ergonomix implant is designed to move with the body for a more natural shape, according to the company. It all fits a year in which implant trends are leaning softer and more proportional.<\/p>\n Patients have noticed. \u201cNow you have patients coming in saying, \u2018I want the Motiva implant,\u2019\u201d said Beverly Hills, CA plastic surgeon Charles Galanis, MD. His practice focuses on breast surgery and body contouring. \u201cThat wasn\u2019t something they were that specific about a few years ago.\u201d Some even request Preserv\u00e9, Motiva\u2019s minimally invasive approach.<\/p>\n Dr. Galanis tied it to the broader push for natural results. \u201cEven in LA, it\u2019s more of a modest size,\u201d he said. \u201cAnd I think that\u2019s where the Motiva implant has excelled.\u201d<\/p>\n Safety data is part of the conversation, too. Capsular contracture, when scar tissue tightens around an implant, is one of the most common reasons for revision surgery. In Motiva\u2019s U.S. clinical study, the rate was 0.5 percent at five years among 451 primary augmentation patients, according to Establishment Labs.<\/p>\n Dr. Steve expects the shift to keep going. \u201cI think we\u2019re getting to the point where breast enhancement can be almost thought of more as a procedural or an injectable type of thing than a surgery,\u201d she said. Implant technology is a big part of that, along with renewed interest in over-the-muscle placement that aims to preserve tissue and ease recovery.<\/p>\n It isn\u2019t only about the chest. Austin, TX plastic surgeon Johnny Franco, MD said patients want a fit, athletic look from body procedures too, rather than dramatic size, and newer fat-based products have widened options for issues like implant rippling. Fat transfer remains another route for women who want a modest change.<\/p>\n If you\u2019re losing weight on a GLP-1, timing matters. Ask your surgeon whether your weight has stabilized, whether volume alone will give you the shape you want or whether you\u2019ll also need a lift, and how they\u2019ll coordinate with the doctor managing your medication. Dr. Steve, for one, prefers to work closely with prescribers. \u201cAs a non-prescriber, I always like to collaborate with people who are sort of experts in their field,\u201d she said.<\/p>\n It\u2019s also worth asking what\u2019s inside your implant and why your surgeon chose it, especially if you\u2019re considering a revision of older devices. William said that transparency is one of the biggest changes she\u2019s seen. \u201cTen years ago, you think back, and people had no idea what they were putting in their body,\u201d she said. \u201cI feel like this evolution has really brought us closer to knowing those things and being more educated.\u201d<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":" The women who book a consultation with New York plastic […]<\/p>\n","protected":false},"author":1,"featured_media":3468,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[55],"tags":[],"_links":{"self":[{"href":"https:\/\/nichebeaty.com\/index.php\/wp-json\/wp\/v2\/posts\/3467"}],"collection":[{"href":"https:\/\/nichebeaty.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/nichebeaty.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/nichebeaty.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/nichebeaty.com\/index.php\/wp-json\/wp\/v2\/comments?post=3467"}],"version-history":[{"count":0,"href":"https:\/\/nichebeaty.com\/index.php\/wp-json\/wp\/v2\/posts\/3467\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/nichebeaty.com\/index.php\/wp-json\/wp\/v2\/media\/3468"}],"wp:attachment":[{"href":"https:\/\/nichebeaty.com\/index.php\/wp-json\/wp\/v2\/media?parent=3467"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/nichebeaty.com\/index.php\/wp-json\/wp\/v2\/categories?post=3467"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/nichebeaty.com\/index.php\/wp-json\/wp\/v2\/tags?post=3467"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}The Third Hit<\/h2>\n
Smaller Implants, More Choice<\/h2>\n
Patients Ask by Name<\/h2>\n
A Less Invasive Future<\/h2>\n
What to Ask Before You Book<\/h2>\n