Motiva - Products/Techniques/General Knowledge

Motiva techniques, general knowledge and overall products

Where are Motivas Main Locations?

USA, Costa Rica, Brazil, Spain and Belgium

What is Salayom Campus building capabilites?

1. Surgical clinic for training with a specialized OR and minimally invasive rooms for the improvement and development of new techniques.

2. Clean room areas: a total of 2953 m2.

3. Building areas: more than 13 thousand m2.

4. Warehouse areas: 1100m2 (used for the storage of raw materials).

5. R&D facilities with 3D printing and testing.

6. Production and broadcasting facilities with state of the art surgical training facilities.

What are the four main technologies?

SmoothSilk, TrueMonobloc, Zen and Ergonomix

What are the four planes for implant placement?

Submuscular, Subglandular, Subfacial and Duel-plane.

What is submuscular placement?

Implant placed beneath the pectoral muscle so that it lies on the rib cage.

What is subglandular placement?

Implant placed beneath the glands of the breast but above the pectoralis muscle.

What is subfacial placement?

Implant positioned beneath the fascia of the pectoralis muscle, but on top of the muscle itself.

What is duel-plane placement?

Implant upper pole positioned beneath the pectoralis muscle, lower pole in a subglandular position.

What does SmoothSilk promote?

Low inflammation, low friction and low bacterial attachment.

How many microns is SmoothSilk?

4 microns

What are the 4 steps of manufacturing SmoothSilk?

1. Dipping

2. Curing

3. Inverting

4. Final shell

What is the size of a nano surface?

Fibroblast (smaller than the size of the average cell)

What is density of peaks?

Number of peaks per unit area.

What does fibroblast do?

Capsulises the implant.

What is the benefit of folding the implant from the mould?

It allows the surface to be completely controlled.

What type of skewness does SmoothSilk have?

Positive

What is a negative skewness?

Deeper valleys than peaks.

What is a positive skewness?

Higher peaks than valleys.

What is the positive result in SmoothSilk technology?

Low capsular contracture rates, no primary reported device-related proliferative diseases (BIA-ALCL, BIA-SCC and B-cell lymphomas).

What is one of Motivas most renouned papers?

The Nature Paper

What is TrueMonobloc?

Technology that joins the shell and the patch. So when the implant moves, it moves as one.

What are the three main words associated with TrueMonobloc?

1. Elongation

2. Softness

3. Adaptability

What are the four device integrity metrics associated with TrueMonobloc?

1. Ultimate Break Force

2. Ultimate Elongation

3. Tear Strength

4. Patch Joint

What is Ultimate Break Force when referring to TrueMonobloc?

Resists internal and external damage from sustained forces.

What is Ultimate Elongation when referring to TrueMonobloc?

Shell elasticity that enables smaller incisions.

What is Tear Strength when referring to TrueMonobloc?

Maintains shell integrity during iatrogenic events.

What is Patch Joint when referring to TrueMonobloc?

Uniform mechanical performance; no longer a point of weakness.

What are the two types of gel Motiva uses?

1. PorgressiveGel PLUS

2. ProgressiveGel ULTIMA

How filled are Motiva Implants?

100%

What type of gel is used in SmoothSilk Rounds?

ProgressiveGel PLUS

What type of gel is used in SmoothSilk Ergonomix & Egonomix2?

ProgressiveGel ULTIMA

What is BlueSeal?

The blue tinted barrier layer.

What is the benefit of BlueSeal?

It allows the surgeon to easily spot a tear or rupture in the implant.

What are the benefits of RFID in implants?

1. Recalls

2. Misplaced device cards

3. Aids in 2nd surgery planning

4. 100% verifications

5. Discarded operation record

What is the difference between Qid and Zen?

Qid has a Ferrite Core and Zen is without the Ferrite Core.

Where can Qid be found on breast imaging?

1. Mammography

2. CT

3. X-ray

4. Ultrasound

5. MRI

Where can Zen be found in breast imaging?

1. Ultrasound

2. Mammography

3. CT

4. X-ray

5. MRI

What information can be found on a RFID device?

1. Implant information

2. Patient Information

3. Surgeon name

4. Procedure type

Where can Motiva surgical techniques be found?

“Best Surgical Practices With MOTIVA Implants”

In terms of surgical technique, what does MOTIVA stand for?

Measure the patient: Everything starts with tissue and  anatomy, not just volume

Outline the Safe Pocket : Our implants work best if you define the pocket, medially and laterally

Tailor the Pocket: With SmoothSilk®, stability comes from pocket control, not capsule thickness

Insert with No-Touch Control: Use Insertion sleeve and follow correct technique

Value the Fold (IMF Fixation) : Because the capsule is thin, the fold must do the work

Align Expectations Early: Our implants behave naturally, patients and surgeons should expect evolution

In terms of surgical technique, what does M stand for in MOTIVA stand for?

Measure the patient: Everything starts with tissue and  anatomy, not just volume

In terms of surgical technique, what does O stand for in MOTIVA stand for?

Outline the Safe Pocket : Our implants work best if you define the pocket, medially and laterally

In terms of surgical technique, what does T stand for in MOTIVA stand for?

Tailor the Pocket: With SmoothSilk®, stability comes from pocket control, not capsule thickness

In terms of surgical technique, what does I stand for in MOTIVA stand for?

Insert with No-Touch Control: Use Insertion sleeve and follow correct technique

In terms of surgical technique, what does V stand for in MOTIVA stand for?

Value the Fold (IMF Fixation) : Because the capsule is thin, the fold must do the work

In terms of surgical technique, what does A stand for in MOTIVA stand for?

Align Expectations Early: Our implants behave naturally, patients and surgeons should expect evolution

What is the importance of Pre-operative Planning in terms of Breast implant selection?

You need to find the right balance between the patients expectations, chest anatomy, skin quality and the characteristics of the breast tissue and the relation to the implant.

What is the importance of Pre-operative Planning in terms of Breast implant volume?

You need to select the implant which is the most appropriate that achieves the best aesthetic outcome while minimizing the risk of reopening.

What is the importance of Pre-operative Planning in terms of Breast implant placement?

You need to ensure the breast tissue characteristics align with the breast implant.

What are the 5 Pre-operation markings?

1. Medial Dissection

2. No touch zone

3. Implant base dimension

4. Lateral dissection

5. Midline

What do you prevent with a precise pocket creation?

Malposition

What do you prevent with reinforcement of the IMF?

Bottoming out

What are the three sections of the Motiva portfolio?

Reconstruction, Traditional Breast Augmentation and Breast Tissue Preservation.

What products are included in the reconstruction line?

Flora Tissue Expander

What are the technologies in the Flora Tissue Expander

1. SmoothSilk Surface

2. MR Conditional Magnet Free Port

3. TrueFixation System

What products are included in the Traditional Breast Augmentation Line?

1. Motiva Round

2. Ergonomix

3. Erogonomix2

What technologies are included in the Motiva Round?

1. SmoothSilk Surface

2. ProgressiveGel PLUS

3. TrueMonobloc

4. BlueSeal

5. Qid

What technologies are included in Ergonomix?

1. SmoothSilk Surface

2. ProgressiveGel ULTIMA

3. TrueMonobloc

4. BlueSeal

5. Qid

What technologies are included in Ergonomix2?

1. SmoothSilk Surface

2. Motiva SuperSilicons

3. ProgressiveGel ULTIMA

4. TrueMonobloc+

5. BlueSeal

6. Zen

What products are included in the Breast Tissue Preservation Line?

1. Preserve

2. Mia

What technologies are included in Preserve?

1. SmoothSilk Surface

2. Motiva SuperSilicons

3. ProgressiveGel ULTIMA

4. TrueMonobloc

5. BlueSeal

6. Zen

What technologies are included in Mia?

1. SmoothSilk Surface

2. Motiva SuperSilicons

3. ProgressiveGel ULTIMA

4. TrueMonobloc

5. BlueSeal

6. Zen

What implant does Preseve use?

Ergonomix2

What implant does Mia use?

Ergonomix2 Dimond

What is the SmoothSilk round designed for?

Balanced softness and firmness with a full, and round appearance in the upper pole of the breast.

What projection type does SM stand for?

Mini

What projection type does SD stand for?

Demi

What projection type does SF stand for?

Full

What projection type does SC stand for?

Corse

What are the benefits of SmoothSilk Ergonomix?

Natural looking, softer feel and smaller scars.

What are the % differences between Ergo and Ergo2

45% Softer

23% More adaptable

32% higher elongation

What does Cohesitity mean?

How well the gel sticks to itself.

What is Breast Tissue Preservation?

A surgical approach that enhances and reshapes the breast while respecting its autonomy and function.

Which part of the breast is responsible for conserving the breast boundaries?

Circummammary ligaments

Which part of the breast is responsible for maintaining the breast support structure?

Coopers ligaments

What are the four main benefits of Tissue Preservation?

1. Low-inflammatory breast stability

2. Breast functionality preserved

3. Fast recovery

4. Reduced need for anaglesics

What is Preserve?

A less invasive breast surgery utilising tissue preservation, specialising in technologies to reshape the breast while maintaining the breast tissue functionality.

What placement does Preserve use?

Subgladular

What are the Preserve key messages?

• Less invasive surgery with breast tissue preservation.

• Single-use Innovative technique tools for safety, stability, faster recovery.

• Agile training for those surgeons embracing less invasive surgery for existing patient base.

What are the Preserve technologies?

1. Implant selection set

2. Marking tool

3. Channel separator

4. Inflatable balloon

5. Insertion sleeve

6. Ergonomix2

What is Immediate reconstruction - DTI

Reconstruction of the breast immediately after mastectomy.

What is delayed reconstruction?

When you take 6-8 months post surgery if receiving adjuvant therapy until undergoing a reconstruction.

What are the five common complications with breast reconstruction?

1. Thick fibrotic capsules

2. Poor healing due to radiotherapy

3. Poor aesthetic outcome and asymmetry

4. Firmness

5. Implant visibility and rippling

What is a one-stage reconstruction?

Reconstruction takes place immediately after the mastectomy and an implant is placed within the breast pocket.

What is a two-stage reconstruction?

A tissue expander is placed, once the tissue and pocket has had time to adjust, an implant is placed.

How long is Flora Tissue Expander intended to be inside the body?

Less than 6 months.

What are the Flora Tissue Expander’s key messages?

• Comfort & Soft Feel : Advanced smoothsilk surface designed to reduce inflammation and complications related to internal scar tissue

• Naturally looking results: Anatomically-shaped design that allows the device to simulate the natural breast

• MR conditional : Non-magnetic RFID-based technology

What is the TrueFixation System’s main function?

Sutured to the adjacent tissue to provide stabilisation to improve symmetry and prevent displacement.

What is the surface of the Flora Tissue Expander?

SmoothSilk

What are the advantages of the magnet free injection port on the Flora Tissue Expander?

No MRI image distortion.

Port functionality preserved post‑MRI.

MRI assessment of expander integrity.

Full visualization of chest wall, contralateral breast, and surrounding structures.

Supports monitoring of fat grafting absorption.

Why is it important that the Flora Tissue Expander magnet free?

To allow for an MRI to plan radiation therapy.

What shape is the Flora Tissue Expander?

Anatomical