Explore saline, silicone, and Motiva® options for your personalized breast enhancement.
An elegant, natural-looking breast augmentation begins with choosing the right implant. At Kirn Plastic Surgery Center, our surgeons help you understand how each implant type affects feel, shape, movement, longevity, and overall aesthetics. We offer the latest technologies—including Motiva®—to create beautiful, personalized results that reflect your goals.
Here’s a clear breakdown of the implant options available.
Saline Implants
Saline implants use a silicone shell filled with sterile saltwater after placement, allowing volume adjustments and smaller incisions. They offer a straightforward, affordable option for patients who want reliable shape control with simple leak detection.
Advantages
- Adjustable during surgery
- Smaller incision
- Easy leak detection
Considerations
- Firmer feel
- Higher rippling risk
Silicone Gel Implants
Silicone gel implants, sometimes called gummy bear implants, feel soft and natural, closely mimicking the texture of breast tissue. They come pre-filled and offer smooth movement with less rippling than saline. These implants remain popular for patients wanting a natural texture with stable, long-lasting results.
Advantages
- Soft, natural feel
- Less rippling
- Strong shape retention
Considerations
- Larger incision
- Imaging recommended
Motiva Implants
Motiva implants feature advanced silicone gel and shell engineering that adapts naturally to movement. Their microtextured surface supports smooth integration and lower complication rates, offering a realistic feel with modern safety innovations.
Advantages
- Natural movement
- Lower complication rates
- Broad customization
Considerations
- Requires a Motiva-trained surgeon (both Dr. Kirn and Dr. Al Bayati are trained and experienced with Motiva implants)
Implant Shape & Profile Options
Implant shape and projection influence the final appearance. Our surgeons help you choose the correct implant to achieve your goals during the detailed consultation visit. Patients are invited to try on real implants during the consultation to provide the most accurate simulation of the final result.
Profiles range from low to high, affecting the amount of forward projection and the breast width you achieve. Your selection depends on chest width, breast footprint, and your desired balance of subtlety or fullness.
Placement & Incision Options
Implant placement plays a significant role in shape and movement. Submuscular placement (under the muscle) offers a natural slope and reduced rippling, while subglandular placement (over the muscle) enhances upper-pole fullness and may suit athletic patients as well as patients with a larger amount of natural tissue.
Incisions can be placed in the breast fold, at the nipple, or in the underarm. Our surgeons focus on precise technique and scar-minimizing strategies to support smooth, symmetric results.
Before & After Gallery
See how other patients achieved their breast enhancement goals with the help of our surgeons. These photos provide a clear sense of the natural, balanced results that are possible with the right implant choice.
Choosing What’s Right for You
Every patient has a unique combination of anatomy, lifestyle, and aesthetic goals. During your consultation, we review implant options side by side, discuss sizing, evaluate proportions, and help you visualize potential outcomes. Our surgeons guide you through each choice so you feel informed, confident, and supported from the first conversation to the final result.
Meet Dr. David S. Kirn
Dr. David Kirn is a board-certified plastic surgeon with more than two decades of experience in cosmetic breast surgery. His background includes a six-year integrated residency at the University of Kentucky, as well as advanced research contributions and multiple U.S. and international patents in surgical innovation.
Patients appreciate his blend of precision, aesthetic judgment, and commitment to safe, natural-looking outcomes. Dr. Kirn’s practice philosophy centers on refinement, comfort, and results that age gracefully over time.
Meet Dr. Ahmed Al Bayati
Dr. Ahmed Al Bayati brings a powerful combination of artistry, technical expertise, and resilience shaped by a remarkable personal and medical journey. Trained in general surgery at Vanderbilt and in plastic surgery at the University of Kentucky—where he served as Chief Resident—Dr. Al Bayati approaches breast surgery with meticulous planning and a strong focus on natural proportion.
Dr. Al Bayati’s continued involvement in education and research further complements his precise, anatomy-aware technique. Patients value his compassionate communication style and his dedication to exceptional surgical outcomes.
Breast Implant FAQs
Which implant feels the most natural?
Silicone gel and Motiva implants typically provide the softest, most natural feel. Your breast tissue and aesthetic goals help determine the best choice.
Are all implants safe?
Yes. We offer FDA-approved implants backed by extensive research. Motiva includes additional safety innovations for added confidence.
What’s the difference between silicone and Motiva?
Both are silicone-based, but Motiva uses advanced gel and shell technologies that move more naturally and may reduce complication rates.
Can implants be replaced or upgraded later?
Yes. Patients may choose revision surgery to change size, update implant type, or refresh older implants.
Do implants need replacement after 10 years?
Not necessarily. Implants do not expire, but they may require replacement if changes or complications occur over time.
How do I know if my implants are OK?
Kirn Plastic Surgery offers complimentary ultrasound screening to monitor the integrity of breast implants placed by our practice. For silicone gel implants, the FDA recommends ultrasound or MRI screening five to six years after implant placement and every two to three years after that.
Schedule Your Breast Implant Consultation
Explore your options and create a personalized breast enhancement plan with board-certified surgeons who prioritize safety, artistry, and individualized care. Kirn Plastic Surgery Center welcomes patients from Bakersfield and the surrounding areas.
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Meet Dr. David Kirn
Dr. David Kirn is an American Board of Plastic Surgery Certified Plastic Surgeon who is devoted to advanced techniques in Cosmetic Surgery of the Face, Breast, and Body. In private practice since 1998, he is located in a state-of-the-art facility which includes a full service skin care center. The practice is focused on personalized patient care and attention to detail. Where possible, Dr. Kirn utilizes minimally invasive procedures. See Our VIP Surgery Center.
Meet Dr. Ahmed Al Bayati
Having completed his training in plastic surgery and serving as Chief Resident at the University of Kentucky, Dr. Al Bayati brings a wealth of expertise and dedication to his practice. His commitment to advancing patient care and achieving exceptional outcomes reflects his unwavering passion for plastic surgery.
Testimonials
Our testimonials offer firsthand accounts of patients’ experiences, serving as powerful endorsements of our expertise, professionalism, and the quality of care provided.
Patient Testimonial- Doctor