Background Motiva smooth round breast implants have a flatter base plate and more rounded front, creating a D shape in profile. These implants have been shown to produce a very thin capsule, which is thought to increase the risk of implant malposition. Motiva breast implants have an unique feature of an identification microchip within the base plate. We theorised that ultrasound could identify the microchip and therefore the orientation of the implant. Methods A single centre study examining the use of ultrasound to detect the of Motiva SmoothSilk ® breast implants chip and therefore the implant position, was undertaken. Results Motiva SmoothSilk ® breast implants have been utilised in 778 breast cases and ultrasound examination is a routine part of our follow up care. Six patients were found to have an anteriorly placed microchip, thus a flipped implant, on ultrasound. These patients underwent surgical correction. A further case was identified intraoperatively. One further case of implant flipping was detected on ultrasound and was successfully de-rotated with manipulation in outpatients. Conclusion We present our experience with flipped Motiva SmoothSilkTM implants and reveal that ultrasound can be used to detect this, which represents a novel additional application of the microchip device that has not been reported previously.