Clinical trial Recruiting at 1 site Interventional Ages 18 and up Women only

Motiva devices for minimally invasive buttock augmentation

Official title: Adaptive Study to Assess the Initial Safety and Functioning of the Minimally Invasive Gluteal Augmentation Procedure and Its Devices in Participants Undergoing Primary Gluteal Enhancement

Run by Establishment Labs · NCT07135011 · Data updated 2026-11-12

This trial will see if Motiva devices used off-label are safe and work well for minimally invasive buttock enhancement in healthy adult women.

Quick facts

Study typeInterventional
Ages18 Years and up
SexWomen only
Enrollment120 (estimated)
SponsorEstablishment Labs
Industry-sponsored
Drugs / interventionsradiation
Locations1 site (Alajuela, Provincia de San José)
StatusRecruiting
StartedApril 12, 2023
Main results expectedApril 2026
Study endsApril 2026
Registry record updatedAugust 21, 2025
Trial IDNCT07135011 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are cisgender women aged 18 or older, ASA class I–II, BMI 18.5–28, with no prior buttock augmentation or biopolymer injections, adequate local tissue coverage, and willingness to attend all follow-up visits.

Probably not a fit

Patients with massive weight loss, significant buttock ptosis or poor skin quality, inadequate tissue or compromised healing, current pregnancy, prior buttock infections, or other exclusion criteria may not receive benefit from this procedure.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a 24-month, prospective, open-label interventional study enrolling about 120 healthy cisgender women to test several Motiva devices applied off-label for gluteal augmentation. The study uses an adaptive two-stage design (feasibility then pivotal) with preplanned interim analyses every six months to monitor safety and device performance. Investigators will record adverse events, characterize complications, and document device use success or failures during the minimally invasive procedure. Follow-up visits are required to track outcomes and any device-related issues over time.

Why it matters

Potential benefit: If successful, this approach could offer a less invasive buttock augmentation option with potentially fewer complications and faster recovery compared with traditional techniques.

How similar studies have gone: These Motiva devices have documented safety and performance in breast applications, but their use for gluteal augmentation is off-label and has limited published evidence to date.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Cisgender women, aged 18 years or older.
* Participants without prior buttock augmentation or biopolymer injections in the buttocks.
* Participants classified as ASA class I and II according to the American Society of Anesthesiologists (ASA) classification system for estimating risk.
* Participants seeking buttock enhancement, aiming to simply restore the aesthetic curvature of the back.
* Body mass index between 18.5 and 28.
* Adequate tissue available to cover the implant(s).
* Willingness to comply with all study requirements and agree to attend all required follow-up visits.
* Agreement to return the device to the sponsor in case of explantation.

Exclusion Criteria:

* Women with massive weight loss.
* Buttock ptosis or poor skin quality.
* Inadequate tissue (e.g., due to radiation damage, ulceration, compromised vascularization, history of compromised healing).
* Current pregnancy.
* History of abscesses or infections in the buttock area.
* History of sensitivity to silicone.
* Any medical condition such as underweight or obesity according to inclusion criteria, diabetes, autoimmune disease, or severe chronic pulmonary or cardiovascular disease resulting in excessively high surgical risk and significant postoperative complications.
* History of psychological characteristics that are unrealistic or unreasonable given the risks associated with the surgical procedure.
* Use of any medication that, according to the investigator's experience, may pose a higher risk of complications or interfere with wound healing capacity, such as corticosteroid treatment or blood-thinning medications (e.g., concomitant treatment with warfarin).
* Participants who do not reside in the Great Metropolitan Area of Costa Rica, which makes it difficult for them to attend follow-up visits.

Where it's running

  • Establishment Labs
    Alajuela, Provincia de San José, Costa Rica
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
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Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.