Uploaded February 2026 | Updated September 2026, 1 day ago
In this video, Dr. David Rapaport, board-certified plastic surgeon with over 30 years of experience and founder and medical director of Aethos New York, discusses one of the most important — and often misunderstood — decisions in breast augmentation: implant type and implant placement.
Dr. Rapaport explains the key differences between saline and silicone breast implants, while also addressing above-the-muscle vs under-the-muscle placement, a topic that directly impacts long-term comfort, aesthetics, and movement.
Topics covered include:
• The pros and cons of under-the-muscle (subpectoral) placement
• What animation deformity is and why it occurs
• How implant choice influences visible movement, recovery, and long-term satisfaction
• Why traditional silicone implants had limitations when placed above the muscle
• How the Motiva silicone breast implant represents a meaningful evolution in implant design, with improved gel behavior and surface characteristics that make above-the-muscle placement more viable
Dr. Rapaport also explains why Motiva implants, unlike older silicone devices, are designed to behave more naturally in motion and may reduce some of the aesthetic drawbacks that previously limited above-the-muscle augmentation.
Throughout the discussion, he emphasizes that there is no single “right” choice — only the right choice for a given patient’s anatomy, goals, and tolerance for risk. With a strong focus on honesty, evolving science, and peace of mind, this video offers patients a clear framework for making informed decisions about breast augmentation.
🔹 Subscribe for more evidence-based education on breast surgery and implant safety
🔹 Contact Aethos NYC to schedule a personalized consultation
In this video, Dr. David Rapaport, board-certified plastic surgeon with over 30 years of experience and founder and medical director of Aethos New York, discusses one of the most important — and often misunderstood — decisions in breast augmentation: implant type and implant placement.
Dr. Rapaport explains the key differences between saline and silicone breast implants, while also addressing above-the-muscle vs under-the-muscle placement, a topic that directly impacts long-term comfort, aesthetics, and movement.
Topics covered include:
• The pros and cons of under-the-muscle (subpectoral) placement
• What animation deformity is and why it occurs
• How implant choice influences visible movement, recovery, and long-term satisfaction
• Why traditional silicone implants had limitations when placed above the muscle
• How the Motiva silicone breast implant represents a meaningful evolution in implant design, with improved gel behavior and surface characteristics that make above-the-muscle placement more viable
Dr. Rapaport also explains why Motiva implants, unlike older silicone devices, are designed to behave more naturally in motion and may reduce some of the aesthetic drawbacks that previously limited above-the-muscle augmentation.
Throughout the discussion, he emphasizes that there is no single “right” choice — only the right choice for a given patient’s anatomy, goals, and tolerance for risk. With a strong focus on honesty, evolving science, and peace of mind, this video offers patients a clear framework for making informed decisions about breast augmentation.
🔹 Subscribe for more evidence-based education on breast surgery and implant safety
🔹 Contact Aethos NYC to schedule a personalized consultation
