Motiva® implant surfaces try to mimic the cellular dimensions, enhancing the biocompatibility of the implants, resulting in less abrasion and a controlled inflammatory response after breast augmentation, even in patients with active lifestyles, features that can decrease complications after breast augmentation. Choosing one surface against the other would depend on the surgeon's preferences. The most used is SmoothSilk®/SilkSurface®, which has the smaller surface dimensions. Other surgeons prefer VelvetSurface® because it has a higher roughness. Both Motiva® Implants surfaces have low complication rates of less than 1%.