Motiva® SmoothSilk® Round Breast Implant RSF-400+Recalls & reported problems
Establishment Labs S.A. · Motiva® SmoothSilk® Round Breast Implant Round Breast Implant - Full 400 cc · Class 3 · Implant
All models of Motiva SmoothSilk Round Breast Implant (53)
Data updated Oct 18, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 10
- Deaths reported
- 0
- Injuries reported
- 8
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 10 adverse event reports that list this exact device (DI 07445161002129), received between Dec 11, 2024 and May 5, 2026 — classified as 8 injuries, 2 malfunctions.
The most frequently reported specific device problem is “Break” (5 reports).
Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. What reports can and can't tell you · How this data works · Data updated Oct 18, 2026.
Reports received per month
Most reported problems
Device problems
- Break5
- Device Appears to Trigger Rejection5
- Positioning Problem2
Patient problems
- Capsular Contracture5
- Insufficient Information5
- Burning Sensation2
- Physical Asymmetry2
- Breast Discomfort/Pain1
Recent adverse event reports
The 10 most recent of 10 reports, in the reporter's own words as published by the FDA.
InjuryMay 5, 2026Device Appears to Trigger Rejection
USA. ALLEGEDLY A PATIENT WHO UNDERWENT A BREAST SURGERY AUGMENTATION ON (B)(6) 2025, DEVELOPED A CAPSULAR CONTRACTURE BAKER GRADE III ON HER LEFT BREAST, AN EXPLANTATION SURGERY HAS BEEN SCHEDULED. THE INVESTIGATION WAS COMPLETED.
Patient problems: Capsular Contracture
MAUDE report 25083424 ↗InjuryMar 23, 2026Device Appears to Trigger Rejection
USA. ALLEGEDLY, A PATIENT WHO UNDERWENT A BREAST SURGERY AUGMENTATION WITH MOTIVA IMPLANTS, PRESENTED BILATERAL GRADE III CAPSULAR CONTRACTURE, CHARACTERIZED BY SIGNIFICANT FIRMNESS AND VISIBLE BREAST DISTORTION. REVISION SURGERY WAS REQUIRED. THE INVESTIGATION WAS COMPLETED.
Patient problems: Capsular Contracture
MAUDE report 24669948 ↗InjuryMar 23, 2026Device Appears to Trigger Rejection
USA. ALLEGEDLY, A PATIENT WHO UNDERWENT A BREAST SURGERY AUGMENTATION WITH MOTIVA IMPLANTS, PRESENTED BILATERAL GRADE III CAPSULAR CONTRACTURE, CHARACTERIZED BY SIGNIFICANT FIRMNESS AND VISIBLE BREAST DISTORTION. REVISION SURGERY WAS REQUIRED. THE INVESTIGATION WAS COMPLETED.
Patient problems: Capsular Contracture
MAUDE report 24669945 ↗InjuryJan 29, 2026Device Appears to Trigger Rejection
USA. ALLEGEDLY, A PATIENT DEVELOPED A BAKER GRADE III CAPSULAR CONTRACTURE IN HER LEFT BREAST (SN (B)(6)). A REVISION SURGERY WAS PERFORMED. NO PATIENT DEMOGRAPHICS, SUCH AS WEIGHT, OR ETHNICITY, WERE PROVIDED BY THE REPORTER. EFFORTS TO GATHER ADDITIONAL INFORMATION ARE ONGOING, AND THE INVESTIGATION REMAINS IN PROGRESS.
Patient problems: Capsular Contracture
MAUDE report 24211083 ↗InjuryJan 26, 2026Device Appears to Trigger Rejection
USA. ALLEGEDLY, A PATIENT DEVELOPED BAKER GRADE IV CAPSULAR CONTRACTURE IN HER RIGHT BREAST. SHE PRESENTED WITH PAIN CAUSED BY THE CAPSULE; REVISION SURGERY IS REQUIRED (SNS (B)(6)). NO PATIENT DEMOGRAPHICS, SUCH AS WEIGHT, OR ETHNICITY, WERE PROVIDED BY THE REPORTER. EFFORTS TO GATHER ADDITIONAL INFORMATION ARE ONGOING, AND THE INVESTIGATION REMAINS IN PROGRESS.
Patient problems: Breast Discomfort/Pain; Capsular Contracture
MAUDE report 24178898 ↗InjurySep 17, 2025Break; Break
SOUTH AFRICA. IT WAS REPORTED THAT A PATIENT WHO HAD HER MOTIVA IMPLANTS ON (B)(6) 2022, WAS DIAGNOSED WITH A RIGHT BREAST IMPLANT RUPTURE. AN EXPLANT SURGERY WAS REQUIRED. THE INVESTIGATION REMAINS IN PROGRESS.
Patient problems: Insufficient Information
MAUDE report 23078402 ↗InjuryFeb 25, 2025Break; Positioning Problem; Break; Positioning Problem
LEBANON. IT WAS REPORTED THAT A PATIENT IMPLANTED WITH MOTIVA IMPLANTS COMPLAINED OF A BURNING SENSATION AND BOTTOMING OUT AND WAS DIAGNOSED WITH A DEVICE RUPTURE AFTER IMPLANTATION. SHE WAS ADVISED TO UNDERGO EXPLANTATION SURGERY. NO PATIENT DEMOGRAPHICS, SUCH AS WEIGHT, OR ETHNICITY, WERE PROVIDED BY THE REPORTER, AND NO ADVERSE OUTCOMES FOR THE PATIENT HAVE BEEN NOTED. EFFORTS TO GATHER ADDITIONAL INFORMATION ARE ONGOING, AND THE INVESTIGATION REMAINS IN PROGRESS.
Patient problems: Burning Sensation; Insufficient Information; Physical Asymmetry
MAUDE report 21462579 ↗InjuryFeb 25, 2025Break; Positioning Problem; Break; Positioning Problem
LEBANON. IT WAS REPORTED THAT A PATIENT IMPLANTED WITH MOTIVA IMPLANTS COMPLAINED OF A BURNING SENSATION AND BOTTOMING OUT AND WAS DIAGNOSED WITH A DEVICE RUPTURE AFTER IMPLANTATION. SHE WAS ADVISED TO UNDERGO EXPLANTATION SURGERY. NO PATIENT DEMOGRAPHICS, SUCH AS WEIGHT, OR ETHNICITY, WERE PROVIDED BY THE REPORTER, AND NO ADVERSE OUTCOMES FOR THE PATIENT HAVE BEEN NOTED. EFFORTS TO GATHER ADDITIONAL INFORMATION ARE ONGOING, AND THE INVESTIGATION REMAINS IN PROGRESS.
Patient problems: Burning Sensation; Insufficient Information; Physical Asymmetry
MAUDE report 21462445 ↗MalfunctionDec 11, 2024Break; Break
THIS PATIENT WAS IMPLANTED THREE YEARS AGO. DURING AN IMPLANT EXCHANGE (MASTOPEXY) SURGERY PERFORMED, BOTH IMPLANTS WERE FOUND RUPTURED. NO PATIENT DEMOGRAPHICS, SUCH AS AGE, WEIGHT, OR ETHNICITY, WERE PROVIDED BY THE REPORTER, AND NO ADVERSE OUTCOMES FOR THE PATIENT HAVE BEEN NOTED. EFFORTS TO GATHER ADDITIONAL INFORMATION ARE ONGOING, AND THE INVESTIGATION REMAINS IN PROGRESS.
Patient problems: Insufficient Information
MAUDE report 20903942 ↗MalfunctionDec 11, 2024Break; Break
THIS PATIENT WAS IMPLANTED THREE YEARS AGO. DURING AN IMPLANT EXCHANGE (MASTOPEXY) SURGERY PERFORMED, BOTH IMPLANTS WERE FOUND RUPTURED. NO PATIENT DEMOGRAPHICS, SUCH AS AGE, WEIGHT, OR ETHNICITY, WERE PROVIDED BY THE REPORTER, AND NO ADVERSE OUTCOMES FOR THE PATIENT HAVE BEEN NOTED. EFFORTS TO GATHER ADDITIONAL INFORMATION ARE ONGOING, AND THE INVESTIGATION REMAINS IN PROGRESS.
Patient problems: Insufficient Information
MAUDE report 20903623 ↗
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Sources and updates
- Device record: FDA GUDID, file dated Oct 13, 2026 · View this device in AccessGUDID ↗
- Adverse event reports: FDA MAUDE, file dated Oct 14, 2026 · each report above links to its original FDA record
- Recalls: FDA Medical Device Recalls, file dated Oct 16, 2026
- Page last rebuilt: Oct 18, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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