Learn about SERENE Structured Saline Implants® and Motiva® Silicone Gel Implants—two of the safest, most advanced breast implant options available :. Both are exclusively provided by board-certified plastic surgeons like Dr. Larry Nichter.

SERENE Structured Saline Implants® (formerly IDEAL Implants®)

SERENE Implants® provide a natural look and feel while offering the peace of mind associated with saline. Their internal structure controls fluid movement, giving them a soft, silicone-like result without the risk of silent rupture.

Benefits include:

• No silent ruptures
• Saline is safely absorbed if rupture occurs
• Natural, soft feel
• Lower capsular contracture rates compared to many traditional gel implants
• U.S.-manufactured with consistent quality

These implants are ideal for patients who want a beautiful, natural result without the long-term concerns associated with silicone gel ruptures.

Motiva® Implants – Now FDA-Approved in the U.S.

Motiva® represents one of the newest and most innovative silicone implant options available. Known internationally for safety and softness, Motiva implants are now FDA-approved and offered through select board-certified plastic surgeons, including Dr. Nichter.

Key advantages:

• Softer, more natural gel consistency
• Advanced shell technology for durability
• Smooth, modern surface design
• Proven high patient satisfaction worldwide

Motiva is an excellent option for patients who prefer silicone and want the most up-to-date implant technology available.

Why These Implants Stand Apart

Both SERENE Structured Saline Implants® and Motiva® Silicone Gel Implants offer unique advantages that set them apart from traditional breast implant options. Their design, safety features, and distribution standards reflect a commitment to patient well-being and long-term outcomes.

What Makes These Implant Options Exceptional

• Available only through board-certified or board-eligible plastic surgeons
• Lower rates of complications such as rupture and capsular contracture
• Advanced technologies designed for safety, softness, and durability
• High patient satisfaction and consistent long-term results

This surgeon-only accessibility ensures that patients receive the highest level of expertise, care, and surgical precision when choosing either SERENE or Motiva implants.

Offered at the Pacific Center for Plastic Surgery

At the Pacific Center for Plastic Surgery, Dr. Larry Nichter is proud to offer two of the most advanced implant options available today:

SERENE Structured Saline Implants®

• No risk of silent rupture
• Saline safely absorbed by the body if rupture occurs
• Natural look and feel with structured internal chambers
• Peace of mind for patients seeking an alternative to silicone gel
  

Motiva® Silicone Gel Implants

• Newly FDA-approved in the U.S.
• Softer, more natural-feeling gel
• Enhanced shell technology for durability
• Extremely high global patient satisfaction

These options allow Dr. Nichter’s patients to choose implants that match their goals, anatomy, and comfort level—without compromising on safety or aesthetic results.

 Orange County plastic surgeon Dr. Larry Nichter has been recognized for over a decade as one of America’s Top Doctors®, Best Doctors, Super Doctors, and other highly selective peer- and patient-nominated honors.

A Legacy of Excellence in Plastic Surgery

Since the launch of Castle Connolly’s peer-review program for America’s Top Doctors®, Dr. Larry Nichter has been honored year after year—a distinction awarded to only the top 7% of physicians in the United States.

For more than a decade, he has consistently earned recognition across multiple respected rankings, reflecting his dedication to exceptional patient care, surgical mastery, and ethical medical practice.

A Rigorous and Highly Selective Process

Being named to America’s Top Doctors® is one of the most selective honors in medicine. The screening process includes:

Peer Nominations

Thousands of physicians nationwide nominate colleagues they trust and would recommend for care.

Physician-Led Evaluation

Castle Connolly’s research team reviews nominees based on:

• Medical education and training
• Board certifications
• Clinical achievements
• Professional reputation
• Commitment to excellence in patient outcomes

Final Selection

Only physicians who demonstrate the highest standards of expertise, professionalism, and integrity are chosen.

Castle Connolly’s CEO, Dr. John Connolly, notes:
“Being selected for inclusion in America’s Top Doctors is a very significant achievement given to only 7% of American physicians. The world of American doctors includes incredibly high-quality medical professionals, yet some stand out.”

Recognized by Both Peers and Patients

Dr. Nichter’s reputation extends far beyond America’s Top Doctors®. Over the years, he has consistently earned multiple highly respected honors that reflect both his excellence as a surgeon and the trust he has built with his patients.

Peer-Selected Awards

• America’s Top Doctors®
• Best Doctors
• Top Doctors
• Super Doctors

Patient-Selected Awards

• Compassionate Doctor Award
• Patient Choice Award

These distinctions highlight not only his surgical expertise and innovation, but also his dedication to compassionate, patient-centered care—values that have defined his career for decades.

Serving Orange County and Southern California

Dr. Larry Nichter remains one of the most trusted plastic surgeons in Orange County and throughout Southern California. Known for his meticulous approach, safety-first philosophy, and artistry in aesthetic and reconstructive surgery, he continues to set the standard for excellence in the region.

His long-standing recognition from both peers and patients further solidifies his leadership in the field of plastic surgery.

“Nip. Tuck. Or Else.”

Back in 2015, Time Magazine’s front cover featured Dr. Larry Nichter in its now-iconic article by Joel Stein, “Nip. Tuck. Or Else,” . The article highlighted  a woman’s journey seeking facial rejuvenation and how she selected a Dr. Nichter from other Plastic Surgeons from Beverly Hills, West LA and Newport Beach,  California.. The piece ignited global discussion about the rapidly evolving role of cosmetic surgery in modern culture.

At the time, the article highlighted the rising influence of social media platforms like Instagram and Snapchat, noting how constant photo-sharing was shaping the demand for aesthetic procedures. It described a world shifting toward a “24/7 red carpet culture,” where people are increasingly aware of how they present themselves online.

Why the Article Still Resonates :

Nearly a decade later, the insights from that article feel even more relevant:

1. The Zoom & AI Effect

Remote work, video meetings, and now AI-enhanced filters have made people more aware than ever of their on-screen appearance—driving demand for facial refinement and rejuvenation.

2. Preventative Aesthetics

Younger generations are embracing early injectables, lasers, and skin-tightening treatments to delay the signs of aging rather than correct them later.

3. Men & Aesthetics

The stigma has faded. More men are choosing both surgical and non-surgical enhancements, recognizing the benefits for confidence, career presence, and personal branding.

4. The Non-Invasive Boom

Treatments like fat-melting technology, advanced fillers, regenerative medicine, and skin-tightening devices continue to dominate—offering transformative results without surgery.

A Cultural Shift: More Than Vanity

As Time predicted, aesthetic procedures have become part of the modern lifestyle—not out of vanity, but as a reflection of:

• self-confidence
• professional presence
• digital identity
• personal empowerment

Today, patients are not just seeking to look better—they’re seeking to feel more like themselves, both in person and online.

Dr. Nichter’s Perspective

Dr. Larry Nichter has always emphasized that cosmetic surgery and non-surgical treatments should be about self-confidence, balance, and authenticity. The decision isn’t about competing with others—it’s about helping individuals look as vibrant as they feel.

The conversation started in Time Magazine continues today. With advancements in safety, technology, and technique, patients now have more choices than ever to pursue natural, personalized results.

Women considering silicone implants still have high-quality options designed to offer a natural feel, durable shell design, and long-term reliability. Modern silicone implants use improved cohesive gels and advanced manufacturing standards that enhance both safety and aesthetics.

These advancements matter because today’s silicone implants are available only through board-certified or board-eligible plastic surgeons, ensuring patients receive care from surgeons with the highest level of training, experience, and oversight. This provides an additional layer of safety and trust for anyone choosing silicone over saline.

Choosing the Right Implant for You

Women have more options than ever:

SERENE Implants® — ideal for peace of mind, saline safety, and a natural look without the risk of silent rupture. Monitoring is just a glance in the mirror to ensure the implant integrity. Dr. Nichter recommends that implants do not need to be changed unless there is a rupture as the replacement is simple and would not require a capsulectomy (removal of the capsule).

Modern Silicone Implants like Motiva, Sientra, and others— great for patients who prefer the feel of silicone and want advanced gel technology with improved shape retention and durability, available exclusively through highly qualified plastic surgeons. FDA guidelines are to monitor implants at 5-6 years with a MRI or Ultrasound to make sure there is not a silent rupture. If so they will need to be replaced. As the majority of implants rupture between 11-19 years, Dr. Nichter recommends that his patients consider replacement at 10-12 yrs prior to rupture as a simple procedure. If a rupture occurs than a capsulectomy is often required.

The best choice depends on your anatomy, aesthetic goals, and comfort level with saline versus silicone.

When it comes to breast augmentation, women consider far more than a natural look and feel. Safety, peace of mind, and long-term outcomes are just as important.

While FDA-approved silicone gel implants are safe, they come with the possibility of silent rupture—a rupture that can only be detected through MRI or ultrasound. If a gel implant ruptures, both the implant and surrounding capsule typically need to be removed in a procedure called a capsulectomy.

The SERENE Structured Implant® (formerly IDEAL Implant®) was created to address these concerns while still delivering a natural, beautiful result.

Advantages of SERENE Implants®

Rupture Advantages

• No silent ruptures — you always know if an implant is intact
• Saline filler is safely absorbed by the body if rupture occurs
• No MRI required — visual confirmation is enough
• Easier removal and replacement compared to gel implants

Filler Advantages

• Only saline inside — no silicone gel in the body
• Peace of mind with the safety of saline
• Natural look and feel thanks to structured internal design

Clinical Advantages

• Youthful breast shape and contour
• Lower capsular contracture rate compared to many gel implants
• High rupture strength and low rupture rate shown in clinical studies

Mission Plasticos’ philosophy extends beyond short-term relief. Each mission includes training and equipment donations so local providers are empowered to carry on the work.

In Cuba, this included vital medical equipment such as:

• An autoclave sterilizing machine
• Operating theater lights
• Additional tools to support a modern, safe surgical environment

These contributions ensured lasting improvements for the hospital and community.

A Legacy of Service

For decades, Dr. Larry Nichter has combined surgical excellence with a deep commitment to humanitarian work. As co-founder and president of Mission Plasticos, he has led more than 110 volunteer surgical missions across the globe, providing life-changing reconstructive procedures to underserved patients.

One of the most impactful destinations for Mission Plasticos has been Cienfuegos, Cuba.

Award-Winning Recognition

Dr. Larry Nichter has won a Best Paper Award for his research article IDEAL (SERENE) Structured Breast Implants: Core Study Results at 6 Years. The award was presented by Plastic and Reconstructive Surgery, the official journal of the American Society of Plastic Surgeons (ASPS).

According to the ASPS, their Best Paper Awards are selected based on usage and sharing data—such as “number of times sent by email and the number of times the article was added to a personal collection.” This recognition underscores that Dr. Nichter’s research was one of the most useful and widely shared publications in the journal.

About SERENE Implants® 

The implants studied in Dr. Nichter’s award-winning paper were originally branded as IDEAL Implants®. Following their acquisition by Bimini Medical in 2024, they are now marketed under the name SERENE Implants®.

• Same U.S. manufacturing facility
• Same structured implant design and sizes
• Same innovative technology and safety profile
• New name, but identical trusted product

SERENE Implants® are a new generation of structured saline implants with an internal design that controls the movement of fluid. This provides the natural look and feel of silicone implants while offering the peace-of-mind advantages of saline.

Study Results: 6-Year Outcomes and Subsequent 10-Year Outcome Publication:

Dr. Nichter’s paper examined the long-term outcomes of breast augmentation patients who received SERENE Implants®. Key findings include:

• High patient and surgeon satisfaction over  years
• Low rates of capsular contracture (scar tissue hardening)
• Low rupture/deflation rates, adding to implant reliability

The study followed 438 women and confirmed that SERENE Implants® are both safe and highly satisfying for patients and surgeons alike.

“Six-year results from 438 women show that the structured breast implant has high patient and surgeon satisfaction, a low rate of capsular contracture, and a low rate of rupture/deflation.”

Why This Matters :

Breast implant technology continues to evolve, but the SERENE Implant® remains one of the most trusted choices for women seeking both beauty and peace of mind. Patients benefit from:

• A natural look and  soft feel
• Safety advantages of saline
• Proven long-term results backed by clinical studies
• Results feel soft like silicone without wrinkling or sloshing for patients who prefer saline.
• Adjustable
• Implant height and projection can be fine-tuned after placement via the outer lumen.
• Worry Free
• Harmless fill material and no risk of silent rupture.
• No Need to remove capsule if ruptured
• No need for MRI or Ultrasound Integrity Monitoring 

Introduction

The COVID-19 pandemic changed the way we live, work, and approach healthcare. For plastic surgery, it also accelerated innovations in safety, patient communication, and treatment protocols. While the pandemic has passed, the lessons we learned remain deeply valuable.

Patients can feel confident knowing that today’s plastic surgery practices are safer, cleaner, and more patient-centered than ever. Here’s how COVID-19 continues to influence modern care.

Enhanced Infection Control Standards

During the height of COVID-19, strict protocols were introduced to minimize risk. Many of these measures have become standard practice, including:

• Rigorous sterilization of surgical suites and equipment
• Advanced air filtration and purification systems
• Reduced-touch environments in consultation and recovery rooms
• Regular staff training in infection prevention
  

These improvements have raised the overall standard of safety, benefiting all patients—not just during a pandemic.

Telehealth and Virtual Consultations

One of the most positive outcomes of COVID-19 was the rise of telehealth. Today, virtual consultations are a staple of modern plastic surgery. Patients can:

• Meet with their surgeon from the comfort of home
• Review treatment options, risks, and benefits
• Ask pre- and post-operative questions without multiple in-office visits
  

This makes the process more convenient and accessible while still maintaining the high level of personalized care patients expect.

Personalized Patient Screening

COVID-19 highlighted the importance of tailoring care to each patient’s health background. :, pre-operative evaluations are more detailed than ever, including:

• Comprehensive medical history reviews
• Individualized risk assessments
• Customized recovery planning for optimal healing

This approach ensures that every patient receives care designed specifically for their safety and long-term results.

A Culture of Safety Beyond the Pandemic

While COVID-19 was the catalyst, the real benefit has been a permanent culture of safety in plastic surgery. Patients today can expect:

• Transparent communication about risks and precautions
• Safer surgical environments
• A stronger emphasis on long-term wellness and recovery
  

These practices continue to provide peace of mind for patients seeking both surgical and non-surgical procedures.

Discover how ultrasonic cavitation works as a safe, non-surgical fat reduction treatment. Learn benefits, recovery, and why patients love it.

Introduction

Non-surgical body contouring continues to be one of the most in-demand aesthetic treatments. Patients are looking for ways to slim down, tone up, and feel confident—without the downtime of traditional liposuction.

One standout option is Ultrasonic Cavitation, a treatment that uses sound wave technology to target and reduce stubborn fat cells. If you’ve been struggling with areas that don’t respond to diet and exercise, here’s what you need to know about ultrasonic cavitation:

What Is Ultrasonic Cavitation?

Ultrasonic cavitation—sometimes called “ultrasonic lipolysis” or “non-surgical fat reduction”—is a non-invasive body contouring treatment. It uses low-frequency ultrasound waves to create tiny bubbles in fat cells, causing them to break down. The body then naturally processes and eliminates these fat cells over time.

Key Benefits:

• Non-surgical, no incisions or anesthesia required
• Comfortable treatment with minimal downtime
• Targets stubborn fat in common problem areas (abdomen, thighs, flanks, arms)
• Results can be seen after a series of sessions

Ultrasonic Cavitation: What’s New?

Technology has advanced significantly in recent years. Today’s ultrasonic cavitation devices are:

• More Precise: Energy is better targeted, leading to more consistent results
• Safer: Improved safety features make treatments more comfortable and reduce risk of side effects
• Combination-Friendly: Many patients pair cavitation with radiofrequency skin tightening or lymphatic drainage for enhanced results
• Faster Treatments: Sessions are shorter, often under 40 minutes, making them easier to fit into busy schedules
  

What to Expect During Treatment

• Duration: About 30–40 minutes per area
• Sensation: Gentle warming or buzzing—most patients find it relaxing
• Downtime: None. You can return to work or daily activities immediately
• Results: Noticeable improvements often begin after 3–5 sessions, with best results after a full treatment series

Who Is a Good Candidate?

Ultrasonic cavitation is best for:

• Patients close to their ideal body weight who want to smooth or refine problem areas
• Those looking for a non-surgical alternative to liposuction
• People with realistic expectations (not a weight-loss solution, but a body-shaping tool)

Ultrasonic Cavitation vs. Liposuction

• Cavitation: Non-surgical, no recovery time, gradual results
• Liposuction: Surgical, more dramatic results, requires anesthesia and downtime

For many patients, ultrasonic cavitation provides the perfect balance—noticeable contouring without the risks of surgery.