

St. Louis, MO
Dr. Judith Gurley has the secret to the future of breast augmentation. At Gurley Plastic Surgery in St. Louis, MO, we know true beauty is found in how you move, age, and live. Dr. Gurley approaches breast surgery by taking it into the 4th dimension, accounting for time and gravity to provide results that remain natural and beautiful at every stage of life.
Dr. Gurley is proud to be a premier provider of Motiva Breast Implants, the latest innovation in silicone breast implants designed to mimic natural breast tissue more closely than ever before. Whether you are seeking primary breast augmentation, restoring volume lost after pregnancy, or correcting asymmetry, Dr. Gurley’s unique touchless technique delivers safety, elegance, and a look so natural that no one will know, everyone will notice.

Motiva Implants represent the 6th generation of implant technology. Unlike traditional breast implants, which can sometimes feel firm or look static, Motiva utilizes advanced engineering to prioritize patient safety and natural movement.
These implants are filled with a proprietary silicone gel that adapts to your body’s position, maintaining a round shape when lying down and adopting a natural teardrop shape when standing. They're encased in a nano-surface outer shell (SmoothSilk®/SilkSurface®), designed to be arguably the most biocompatible implants on the market today.
Dr. Gurley advises patients to choose Motiva for their superior blend of safety and aesthetics.

This next-generation implant is an excellent choice for a wide range of women, specifically those aged 22–70.
You may be an ideal candidate if:
Dr. Gurley uses Motiva implants to address a variety of aesthetic concerns. She customizes every surgical procedure to create a balanced, proportionate silhouette.
For patients who want to increase breast size or restore fullness. Dr. Gurley uses touchless placement techniques to insert the implant through tiny incisions, minimizing scarring while maximizing upper pole fullness and projection.
Gravity and time can cause skin to stretch. A breast lift tightens the breast skin and connective tissue, while a Motiva implant restores lost volume. This combination ensures the breast sits youthfully on the chest wall with a natural slope.
Dr. Gurley specializes in revision surgery for women with traditional implants (saline or older silicone) who are unhappy with the feel or appearance. She can replace them with SmoothSilk Ergonomix implants to improve breast appearance and correct severe asymmetry.
Sometimes, balancing the figure requires more than just an implant. Dr. Gurley often combines implant placement with liposuction or fat grafting to smooth the transition between the implant and your natural body, refining body proportions for a seamless look.

All it takes to get started is a simple, no-pressure, private consultation with Dr. Gurley. She'll discuss your goals and explain her 4th Dimension philosophy to ensure your results look just as beautiful today as they will several years down the road. Dr. Gurley will carefully evaluate your natural breast tissue, skin quality, and chest wall dimensions to determine the best approach for your body. Together, you will discuss breast volume and projection to find the size that best complements your frame. You will also learn about the specific implant options, such as Round versus Ergonomix, and understand why Dr. Gurley often prefers above the muscle placement for many first-time patients.
Dr. Gurley is the sole provider at her practice using the specific touchless placement technique. This advanced method involves using a sterile delivery funnel to slide the implant into the breast pocket without it ever touching the skin or surgical gloves. The surgery is typically performed under general anesthesia, and since Motiva implants are highly flexible, they can be inserted through significantly smaller incisions than traditional implants, which helps minimize scarring. Whenever possible, Dr. Gurley places the implant above the muscle as a preservation approach that respects the integrity of the chest muscle and helps reduce post-operative pain and animation defects.

One of the major benefits of preservation breast augmentation (above the muscle) is the reduced recovery time. Most patients experience a much quicker recovery compared to sub-muscular placement and can typically return to light desk work the next day. You will experience less muscle soreness since the pectoral muscle is not cut or stretched during the procedure. While recovery is swift, strenuous body movements and running or jogging should still be avoided for several weeks to ensure proper healing. Throughout your recovery, Dr. Gurley and her team will monitor your progress closely to ensure patient satisfaction and optimal breast health.

Dr. Gurley’s ultimate goal is to provide a beautiful 4-dimensional result. You'll see an immediate improvement in shape and size following surgery. As any initial swelling subsides, the Progressive Gel settles into a natural contour that looks and feels soft, becoming nearly indistinguishable from real breast tissue. Because the surgery accounts for gravity and time, your results are designed to age naturally with you, maintaining a sophisticated and elegant look for years to come.
Dr. Judith Gurley
As a female board-certified plastic surgeon, I understand that your body isn’t a static object. It’s a living, breathing part of who you are that changes with time, gravity, and life. I don’t just look at how you’ll look in the recovery room. I look at how you’ll look five, ten, and twenty years from now.
That’s the heart of my 4th Dimension philosophy.
I am proud to be the sole provider in this practice offering the specific combination of Motiva Implants, touchless insertion, and above-the-muscle placement. I use this method because I believe you deserve a procedure that respects your body. By placing the implant gently above the muscle using a no-touch technique, I can minimize trauma, reduce inflammation, and prioritize your long-term safety.
This isn’t just surgery to me. What I strive for is a lifelong investment in your confidence. I want to give you a result that feels as natural as it looks: beautiful, elegant, and unmistakably you.

Step away from the plastic look of the past and embrace a result that feels incredible. Reclaim your body or define your curves for the very first time. Dr. Gurley invites you to experience the confidence of the 4th Dimension. Don’t just upgrade your silhouette. Future-proof it with the only implant designed to move with your life.
See what the future of breast aesthetics looks like on you by contacting Gurley Plastic Surgery in St. Louis, MO, today. Let’s create a look that's undeniably beautiful and unmistakably yours.
Motiva implants use 6th-generation cohesive silicone gel and a specialized nano-surface outer shell. This technology allows for better tissue integration, a more natural feel, and a lower risk of complications like capsular contracture compared to older, coarser textured implants.
The Blue Seal is a unique safety feature in Motiva implants. It is a visible barrier layer that allows the surgeon to verify that the implant has not been damaged prior to insertion. It ensures the integrity of the implant shell, providing peace of mind regarding implant rupture or leaks.
Dr. Gurley often recommends above-the-muscle placement because it is less invasive and offers a quicker recovery. Since Motiva implants are designed to minimize rippling and look natural, they do not always require the coverage of the chest muscle to hide the implant edges, making them ideal for this preservation technique.
While breast implants are not considered lifetime devices and may eventually need replacement, Motiva’s advanced technology and implant flexibility are designed for durability. Dr. Gurley will discuss monitoring your breast health over time to ensure your results remain beautiful for years to come.
Yes. Breast implants generally do not interfere with breastfeeding. Dr. Gurley’s preservation techniques aim to protect the natural breast tissue and milk ducts, allowing women in the post-partum phase or those planning future pregnancies to breastfeed successfully.
Yes. Dr. Gurley uses a no-touch insertion sleeve. This technique allows the implant to be inserted through a smaller incision and reduces contact with the skin, which lowers the risk of infection and inflammation (a key factor in capsular contracture).
Dr. Judith Gurley is a skilled plastic surgeon with over 25 years of experience. Board-certified by the American Board of Plastic Surgery, she trained at Washington University School of Medicine, where she served as an Attending and Assistant Professor. She is also an active member of The Aesthetic Society, American Society of Plastic Surgeons, Association of Women Surgeons, St. Louis Society of Plastic Surgery, and FACS / American College of Surgeons Professional Association. With contributions to peer-reviewed journals and pioneering innovations, including FDA-approved treatments, she has been recognized as a Top Doctor.