Motiva implants
SmoothSilk-surface implants in round or Ergonomix shapes, designed to move with your body.
Breast · Lincoln, Nebraska
Breast surgery is the core of my practice. I plan every augmentation around your measurements and goals, with Motiva implants and a no-touch technique, for results that look and feel natural.

Watch
Breast augmentation
Motiva implants
Overview
A good augmentation starts with measurements, not cup sizes. I look at your chest width, breast width, skin and tissue thickness, and then we choose an implant that fits your frame and the look you want.
I often place the implant above the muscle, beneath the fascia (the subfascial plane), which avoids the distortion some women notice when the chest muscle moves. For others a dual-plane placement, partly under the muscle, is the better choice. I'll explain which one I recommend for you, and why.
Is it right for you?
The procedure
SmoothSilk-surface implants in round or Ergonomix shapes, designed to move with your body.
Subfascial or dual-plane, chosen for your anatomy and your goals.
A no-touch insertion through a smaller incision, with less handling of the implant.
An implant alone doesn't lift a sagging breast. If a lift should be part of the plan, I'll tell you.
Recovery
Rest, light walking and a support bra. Discomfort is managed with medication.
Many patients return to desk work.
Gradual return to exercise and lifting, as cleared at follow-up.
The implants settle and soften into their final position.
Every recovery is individual. You'll leave with a written plan for yours, and you can reach us at (402) 489-4700 at any time.
Results
You see a difference right away. The final shape develops over about three months, as swelling resolves and the implants settle.
At your consultation I'll show you before and after photos of patients with a starting point similar to yours. Individual results vary.
What patients say
Hundreds of reviews from real patients, many of them people I've cared for over months and years.
“Dr. Machado was very thorough and extremely patient with my (many) questions throughout our consultation. Very well thought out in discussing the avenues and options for breast augmentation…”Cost
Every quote is personal. After your consultation you receive a written estimate that includes the surgeon's fee, the facility and anesthesia, so there are no surprises.
Because this is a cosmetic procedure, it isn't covered by insurance.
Questions
It depends on your anatomy. I often use the subfascial plane, above the muscle and beneath its fascia, for a natural shape without movement distortion. When there is very little tissue to cover the implant, a dual-plane placement can be better. We decide together at your consultation.
FDA-approved Motiva implants with a SmoothSilk surface, in round or Ergonomix shapes, inserted with a Keller Funnel.
Before surgery we go through the FDA patient decision checklist together. It covers capsular contracture, rupture, BIA-ALCL (a rare lymphoma linked mainly to textured implants) and the symptoms some patients describe as breast implant illness. I want you to decide with complete information.
No. Implants are not lifetime devices. Many last for years, but you may need another operation at some point. Regular follow-up helps us catch changes early.
Yes. Tell the imaging center that you have implants so they can take the right views.
Yes. I perform implant removal (explant), exchange and revision, with or without a lift.
Related
Consultation
Every plan starts with a one-on-one consultation. We talk through what you'd like to change, examine and measure, and go over options, recovery and cost before you decide anything.
Appointments are scheduled by Prairie Orthopaedic & Plastic Surgery, Dr. Machado's practice in Lincoln.Call
Hours
Monday – Friday, 8:00 am – 4:30 pm
Follow