Motiva Flora
Bloom from within
Motiva Flora® SmoothSilk® Tissue Expander provides women undergoing a two-stage breast reconstruction with comfort1, safety, and peace of mind throughout the tissue-expansion process.2,3
Harnessing the latest advancements in breast reconstruction, we're dedicated to providing innovative solutions that help you feel like yourself again, and that empower you to be in control of your body and breast health.
Two-stage Aesthetic BreastRecon®
Motiva Flora® SmoothSilk® Tissue Expander is placed after the mastectomy procedure
to expand the skin and create a pocket for placement of a permanent implant*. Once
the expansion process is complete, the Motiva Flora® SmoothSilk® Tissue Expander is
removed and replaced with a permanent breast implant*.
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Stage 1: Motiva Flora® SmoothSilk® Tissue Expander Insertion and Gradual Tissue Expansion
During your mastectomy procedure, your surgeon will insert the Motiva Flora® SmoothSilk® Tissue Expander into your breast, either under or over your chest muscle (pectoralis major), and close the incision.4,5 In the coming months, your surgeon will periodically inject small amounts of saline solution though the Flora® SmoothSilk® Tissue Expander’s injection port and gradually stretch the breast tissue.4,5
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Stage 2: Permanent Breast Implant* Selection
Once the expansion process is complete, the second stage of the procedure is to remove the Motiva Flora® SmoothSilk® Tissue Expander and replace it with a permanent breast implant*.
*Breast implants are not a lifetime device.
Comfort, safety & peace of mind
Motiva Flora® is the first and only MR Conditional magnet-free breast
tissue expander in the United States.
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Soft to the touch
Motiva Flora® features our advanced SmoothSilk® surface, designed to reduce inflammation and complications related to internal scar tissue seen with other conventional tissue expanders.1,6
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Anatomical shape
Motiva Flora® provides a natural-looking slope in the upper part and more fullness in the lower portion during the expansion process, promoting organic results in the reconstructed breast.7
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MR Conditional & magnet-free port
Motiva Flora® is labeled as MRI conditional, meaning that you can safely undergo MRI scanning during the expansion process, under specific conditions.5
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TrueFixation® system
Includes fixation tabs made from reinforced silicone, designed to improve breast symmetry and prevent possible displacement after surgery8, providing stability throughout the expansion process.
A first-of-its-kind
MRI Conditional Tissue Expander
Motiva Flora® is a next-generation MR Conditional tissue expander, meaning that the port used to fill your device does not contain a magnet and can be used safely under specific conditions during MR scanning.5
Traditional tissue expanders with magnetic ports can pose complications during vital MRI scans, and are often classified as MR Unsafe.9
However, the Motiva Flora® SmoothSilk® Tissue Expander was purposely built with a non-magnetic port detection system, designed to provide a safer solution for women needing MRI scans during the expansion process.5
Our advanced RFID port technology offers MR Conditional labeling and is designed to reduce the risks associated with conventional magnetic port tissue expanders.2,10,11
What makes us unique
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Non-magnetic Port
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RFID enabled, so your surgeon can accurately detect your port
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MRI Conditonal
Real Stories
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"I think that I’m a different person after having breast cancer because I think that so many things have awoken in me. I feel like you move forward. It’s like, I have so many strengths now, I feel like I’m more alive now. Waking up and seeing that my breasts were still there, I feel like it helped emotionally."
Norma
58
Reconstruction Patient
Ballet instructor & mom -
"One of the first things that I knew is that I needed to get an immediate reconstruction if it was at all possible because I knew that that was a very important part of my healing process. I challenged myself to grow in things that I had not wanted to grow in before."
Tanisha
36
Reconstruction Patient
Mom & Conference producer -
"After looking at yourself in the mirror and seeing someone totally new, the process is very nice, the expectations of what you’re hoping for, what will happen to you. We, women, have to love ourselves, most of all. Keep moving forward."
Gretel
64
Reconstruction Patient
Mom -
"The most important thing for me, I feel, is my mind. I sometimes suffer from depression, and everyone gets sad. We have to go on fighting, we’re getting on the train of life and it’s full steam ahead. Let´s choose life!"
Estrella
61
Reconstruction Patient
Mom, retired nurse & marathoner -
"I did it because I wanted to. Why would I settle? I wanted to like the way I looked. I went to see a private doctor and asked how much it would cost, what the procedure would be, and he was the one who got me in the Motiva® program to get reconstruction."Paola
36
Reconstruction Patient
Administrative assistant -
"It was two months after my daughter was born. My breast became inflamed, we didn’t know what it was. I think that my essence, today, is due to all the strength that my mother showed me during her sickness. But I feel better, I am strong, and I want to achieve many things."
Laura
42
Reconstruction Patient
Mom & Financial consultant -
"I’m a woman who really likes to feel secure, and part of that security for me was my breasts. I know I have to be conscious that I lost them, and this reconstruction is like a gift, it’s like having them back but in another way."
Mónica
39
Reconstruction Patient
Mom -
"Motiva® gave me my life back. They brought me back to myself. I want other women to know, even though this horrible thing is happening to you, you can opt for reconstruction and come back from this as the same person you were."
Juliana
36
Reconstruction Patient
Heatlthcare professional
References
1. Schoberleitner I, Augustin A, Egle D, et al. Is It All about Surface Topography? An Intra-Individual Clinical Outcome Analysis of Two Different Implant Surfaces in Breast Reconstruction. J. Clin. Med. 2023, 12, 1315. https:// doi.org/10.3390/jcm12041315
2. Breast Cancer: Types of Treatment | Cancer.Net. Accessed July 27, 2021. https://www.cancer.org/cancer/types/breast-cancer/treatment.html
3. Breast Tissue Expander With Radiofrequency Identification Port: Assessment of MRI Issues | Enhanced Reader.
4. Bertozzi N, Pesce M, Santi P, Raposio E. Tissue expansion for breast reconstruction: Methods and techniques. Annals of Medicine and Surgery. 2017;21:34. doi:10.1016/J.AMSU.2017.07.048
5. Establishment Labs®. Directions for Use: Motiva Flora® SmoothSilk® Tissue Expander. https://ifu.motiva.health/hcp/new/US/FloraTissueExpander 1
6. Doloff JC, Veiseh O, Mezerville R de, et al. The surface topography of silicone breast implants mediates the foreign body response in mice, rabbits and humans. Nature Biomedical Engineering 2021. Published online June 21, 2021:1-16. doi:10.1038/s41551-021-00739-4
7. Bletsis P, Bouwer L, Ultee K, Cromheecke M, van der Lei B. Evaluation of anatomical and round breast implant aesthetics and preferences in Dutch young lay and plastic surgeon cohort. J Plast Reconstr Aesthet Surg. 2018. 71(8), 1116-1122. doi: 10.1016/j.bjps.2018.04.010
8. Khavanin N, Gust MJ, Grant DW, Nguyen KT, Kim JY. Tabbed Tissue Expanders Improve Breast Symmetry Scores in Breast Reconstruction. Archives of Plastic Surgery. 2014;41(1):57. doi:10.5999/APS.2014.41.1.57 9 Clemens MW, Fairchild B, Ellsworth W, et al. Breast Surgery Safety and Efficacy of Smooth Surface Tissue Expander Breast Reconstruction Level of Evidence: 4. Aesthetic Surgery Journal. 2020;40(1):53-62. doi:10.1093/asj/sjy199
9. Clausen-Oreamuno C, Perez-Rodrigo S, Stillaert F, Tejerina A, Tejerina A, Shellock F. Benefits of Using Magnetic Resonance Imaging During Breast Tissue Expansion: Literature Review and Case Series, Aesth Surg Jour, 2023; sjad264, doi.org/10.1093/asj/sjad264
10. Schiaffino S, Cozzi A, Pompei B, Scarano AL, Catanese C, Catic A, Rossi L, Del Grande F, Harder Y. MRI-Conditional Breast Tissue Expander: First In-Human Multi-Case Assessment of MRI-Related Complications and Image Quality. J Clin Med. 2023 Jun 30;12(13):4410. doi: 10.3390/jcm12134410.
11. Establishment Labs®. Directions for Use: Motiva Flora® SmoothSilk® Tissue Expander. https://ifu.motiva.health/hcp/new/US/FloraTissueExpander
[1] The information provided is for informational and educational purposes only, the content herein is not intended as a substitute for consultation with a physician. Motiva® Implants are not yet commercially available in the US and are undergoing clinical investigation pursuant to US Food and Drug Administration (FDA) regulations for investigational medical devices.
[2] The statements and opinions presented here are applicable to each individual. Results will vary and may not be representative of the experience of others. All statements are freely and voluntarily provided, but in some instances individuals may be given benefits by Motiva® in the form of products, services, or travel and lodging expenses.
Motiva®, Establishment Labs®, Motiva Flora®, and SmoothSilk® are trademarks of Establishment Labs Holdings® Inc.