Preservé Breast Augmentation® is a less invasive augmentation system developed with the implant manufacturer Motiva. It uses purpose-built instruments to create the implant pocket with as little tissue disruption as possible, placing a Motiva Ergonomix2 implant above the muscle through a small incision using a no-touch technique.

Because the implant sits above the muscle, the chest muscle is not cut, and the technique aims to preserve the breast's natural tissue, support ligaments, and nerve sensation. Less disruption is intended to mean a smaller scar, less swelling and discomfort, and a faster, more comfortable recovery than traditional augmentation. Many patients can have the procedure without general anesthesia.

Preservé is a specific surgical approach tied to the Motiva implant system rather than a different implant material. It is designed for a natural, subtle enhancement, often around one to two cup sizes. It remains surgery performed in an accredited setting, results vary, and it is not suitable for everyone.

What it can improve

• Breast volume for patients seeking a subtle, natural enhancement
• Volume loss after pregnancy, breastfeeding, or weight change
• Upper-pole fullness and overall proportion
• A soft, natural feel and movement, with the implant above the muscle
• The recovery experience, with a smaller incision and reduced tissue trauma

It does not lift significantly sagging breasts, which may need a breast lift, and it is designed for subtle enhancement rather than a very large size increase. It does not improve skin quality or stretch marks.

Quick facts

• Procedure time: Often under 1 hour
• Anesthesia: Often local anesthesia with sedation, general anesthesia usually avoided
• Clinic stay: Same-day discharge
• Recovery: Often around 1 week, typically faster than traditional augmentation
• Exercise: Strenuous activity and chest training avoided for 4--6 weeks
• Final result: Settles over 2--3 months as swelling resolves
• Price: Determined after consultation

Before the procedure

You will receive individualized instructions covering medication, supplements, smoking, alcohol, fasting, and any required tests. Implant size and your suitability for the Preservé approach are planned together at consultation, since the technique suits some anatomies and goals better than others.

During the procedure

The procedure is performed in an accredited surgical setting, often without general anesthesia. Purpose-built instruments create the pocket above the muscle with minimal tissue disruption, and a Motiva Ergonomix2 implant is placed through a small incision using a no-touch technique, with attention to symmetry and natural drape.

After the procedure

Mild swelling, tightness, and tenderness are normal and ease over the first days to weeks, and many patients describe a quicker, more comfortable recovery than expected. A support bra is worn as advised, light walking is encouraged early, and chest exercise is reintroduced gradually at follow-up.

Results: what it can and cannot achieve

A fuller, soft, natural-looking breast is achievable, usually as a subtle increase of around one to two cup sizes. The technique cannot guarantee a specific cup size, cannot lift heavy sagging, is not designed for very large augmentation, and cannot remove the future need to address the implant, since implants do not last a lifetime. Final shape settles over a few months.

Possible risks and complications

Breast augmentation is generally safe in experienced hands, but all surgery carries risks. Possible risks include:

• Bleeding or hematoma
• Infection
• Changes in nipple or skin sensation
• Capsular contracture (firmness around the implant)
• Implant rippling, malposition, or rotation
• Asymmetry or unsatisfactory shape
• Implant rupture over time and the need for future surgery
• Visible scarring

Smoking and impaired circulation raise the risk of healing problems, so honest assessment and smoking cessation are essential.