Experience the exceptional care and personalized touch of a board-certified female plastic surgeon who prioritizes your well-being every step of the way. Discover why Dr. Ashley Howarth stands out as one of the best plastic surgeons in Arizona for results that look and feel beautifully natural.
Breast Implant Selection
Choosing the Right Implants to Match Your Body, Lifestyle, and Vision
Choosing a breast implant is one of the most important parts of your surgical plan—shaping not only your aesthetic outcome, but how you feel in your body every day. Whether you’re planning your first breast augmentation or exploring revision surgery, Dr. Ashley Howarth takes a highly personalized approach to implant selection, grounded in experience, artistry, and care.
Dr. Howarth is a Mayo Clinic–trained, board-certified plastic surgeon known for breast surgery results that are elegant, balanced, and never overdone. At her Scottsdale practice, implant selection is a collaborative process, shaped by your anatomy, your goals, and the way you want to live in your body.
What Does Implant Selection Involve?
Breast implant selection goes far beyond size. You’ll explore different implant materials, shapes, textures, and profiles—all of which influence the final result. Dr. Howarth offers a curated selection from trusted manufacturers, including Motiva®, Mentor®, and Sientra®. Motiva implants, in particular, are known for their soft feel, natural movement, and advanced biocompatibility.
During your consultation, Dr. Howarth will guide you through these options with care and clarity. You’ll discuss the look you want to achieve, your lifestyle, and your long-term goals—so that your final result reflects not just a change in shape, but a sense of alignment with your vision and values.

Key Factors in Choosing the Right Implant
Silicone vs. Saline
Silicone implants are filled with cohesive gel that closely mimics the feel of natural breast tissue. Saline implants contain sterile saltwater and may offer a firmer feel. Both options are safe and FDA-approved, and each comes with distinct benefits depending on your anatomy and preferences.
Shape and Profile
Implants come in both round and anatomical (teardrop) shapes, as well as different projection profiles—low, moderate, and high. These factors influence how full the breast appears and how it fits your frame. Dr. Howarth will guide you in choosing the shape and profile that best complements your body and your goals.
Implant Surface and Texture
Smooth implants tend to move more naturally within the pocket, while textured implants may offer more stability. Surface texture is carefully chosen based on your tissue characteristics and surgical plan. Dr. Howarth typically uses smooth-surfaced implants due to their soft feel and lower risk profile.
Motiva® Implants
Motiva implants represent a newer generation of breast implant technology. Known for their softness, flexibility, and natural movement, they feature SmoothSilk® surfaces designed to reduce friction and improve tissue compatibility. Motiva Ergonomix® implants adjust shape with your body’s motion, creating a more natural look and feel—making them an increasingly popular choice for women seeking subtle, elegant results.
Breast Implant Selection
A Thoughtful, One-on-One Conversation
Your implant consultation is a personalized, one-on-one conversation with Dr. Ashley Howarth—focused entirely on your goals, preferences, and how you want to feel in your body. Whether you’re exploring implants for the first time or considering a revision, Dr. Howarth takes time to listen, educate, and guide you through the process with care.
You’ll discuss implant size, shape, material, and projection—along with your lifestyle, activity level, and aesthetic vision. Dr. Howarth will take precise measurements, evaluate your breast tissue, and offer tailored recommendations designed to create results that are beautifully in balance with your body.
Rather than a one-size-fits-all approach, implant selection is a collaboration. With her surgical experience and refined eye, Dr. Howarth helps ensure that every choice supports your confidence—not just in the result, but in the decision itself.
From consultation to confidence
Selecting a Plastic Surgeon with a Commitment to Excellence
Tailored to Your Anatomy
Implant selection begins with understanding your unique proportions—chest width, breast tissue, skin elasticity, and symmetry. Dr. Howarth uses detailed measurements and years of surgical experience to ensure each implant aligns with your body, supports your goals, and enhances your natural silhouette.
Designed for Your Lifestyle
Whether you’re athletic, postpartum, or simply seeking subtle enhancement, your implant choice should reflect how you live and feel in your body. During your consultation, Dr. Howarth will help you weigh how shape, profile, and volume relate to your activity level, comfort, and aesthetic preferences.
Why Many Women Choose Motiva®
Motiva implants are designed to move with your body, feel soft to the touch, and reduce friction beneath the skin. Their SmoothSilk® surface and Ergonomix® technology offer a natural look and feel, making them a sought-after option for women who want elegant results with modern innovation. Dr. Howarth will review whether Motiva is right for you during your personalized implant consultation.
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Meet your surgeon
Ashley Lynn Howarth, MD, FACS
Dr. Ashley Howarth is a board-certified plastic surgeon who completed her training in Plastic and Reconstructive Surgery at the Mayo Clinic Arizona. Prior to that, she trained in general surgery at Texas A&M Baylor Scott & White, and earned her medical degree from the University of Louisville School of Medicine. With nine years of combined surgical training, few surgeons possess the level of academic experience as Dr. Howarth.
She has quickly become one of Arizona’s most in-demand plastic surgeons, recognized for her surgical precision, natural aesthetic, and obsession with detail. Her clinical interests include cosmetic surgery of the face, breasts, and body, and she is known for delivering results that are refined, balanced, and thoughtfully executed.
In addition to her surgical practice, Dr. Howarth serves as an Associate Professor of Plastic Surgery at Mayo Clinic, where she helps train the next generation of plastic surgeons. She also serves as the youngest board member and Member-at-Large for the Arizona Society of Plastic Surgeons, a leadership role awarded by her peers.
As a working mother of three young boys, Dr. Howarth understands the challenges that women face. Her care is grounded in empathy, honesty, and individualized attention, with the goal of helping every patient feel confident, supported, and beautifully themselves throughout the entire process.
She proudly supports the Boys & Girls Clubs of Greater Scottsdale and sponsors their Celebrate Youth Gala each year. She also mentors young women interested in medicine and surgery by offering shadowing opportunities and career guidance, continuing her dedication to helping others grow—both in and out of the operating room.
“My life feels full and wonderful due to this transformation. I’m blessed to have had Dr. Howarth complete my surgery. Don’t wait to love your body and yourself!” – M.A.
How do I choose the right implant for me?
The best implant is one that complements your anatomy and aligns with your goals. During your consultation, Dr. Howarth will assess your chest measurements, breast tissue, and lifestyle to recommend the size, shape, and profile that works best for your body. Every decision is guided by your preferences and her eye for balance and proportion.
What makes Motiva implants different?
Motiva implants are known for their soft feel, natural movement, and advanced shell design. The SmoothSilk® surface may reduce friction against surrounding tissue, while Ergonomix® technology allows the implant to adapt its shape with your body’s position—enhancing comfort and aesthetics. Many women choose Motiva for its modern, refined approach to implant design.
What are the differences between Mentor, Sientra, and Motiva implants?
Mentor and Sientra are FDA-approved and widely trusted implant brands with decades of safety data. Motiva, while newer to the U.S. market, offers a unique blend of soft feel, natural shaping, and surface innovation. Dr. Howarth offers all three and will explain their features to help you make a well-informed decision.
Can I switch implant types during a revision surgery?
Yes. Whether you’re changing size, shape, or manufacturer, implant exchange is common during revision surgery. Many women switch from older saline or textured implants to newer silicone options like Motiva. Dr. Howarth will help you explore what’s possible and guide you toward the best choice for your goals.
Is there one implant that looks the most natural?
Natural-looking results depend on the harmony between your anatomy and the implant—not just the brand. However, implants like Motiva Ergonomix® are designed to mimic the movement and softness of natural breast tissue, and are often selected for patients who prioritize subtle, organic-looking enhancement.
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