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Preservé Breast Augmentation with Motiva Implants

Preservé Breast Augmentation with Motiva Implants

Home | Plastic Surgery | Breast | Breast Enhancements | Preservé Breast Augmentation with Motiva Implants

A More Refined Approach to Breast Augmentation

Breast augmentation continues to evolve—and for many patients, the goal is no longer simply volume, but a result that looks and feels naturally in harmony with their body. Preservé breast augmentation with Motiva implants represents a more refined approach, focusing on tissue preservation, implant design, and surgical precision.

At Beachwood Plastic Surgery and Westlake Plastic Surgery, Dr. Steven Goldman takes a highly individualized approach to breast enhancement. Preservé is not about dramatically changing your appearance; it’s about enhancing your natural contours with a technique designed to support long-term tissue integrity and a soft, natural feel.

Whether you are exploring breast augmentation for the first time or seeking a more modern alternative to traditional techniques, understanding how Preservé works can help you determine if it aligns with your goals.

What Is Preservé™ Breast Augmentation?

Preservé refers to a specialized breast augmentation technique performed using Motiva® breast implants. Unlike traditional approaches, Preservé:
  • Utilizes a more limited surgical dissection
  • Preserves natural ligaments and support within the breasts
  • Is typically performed over the muscle (subglandular placement)

It is important to understand that:
  • Preservé is the technique.
  • Motiva® is the implant.
Motiva implants may also be used in traditional under-the-muscle (subpectoral) augmentation, which may be more appropriate for patients seeking a larger volume or for patients with loose soft tissues. Dr. Goldman and his team will help you understand the differences between the different augmentation techniques and help you choose which is best for you.

How Does the Preservé™ Technique Work?

The Preservé technique focuses on minimizing disruption to natural anatomy by preserving ligamentous structures within the breasts and by using limited, precise surgical dissection. Key elements include:

  • Precise, controlled dissection
  • Preservation of connective tissue support
  • Strategic implant placement for natural upper pole fullness

This approach is most often used with smaller implants to enhance shape rather than dramatically increase size.

Dr. Steven Goldman

How Preservé™ Differs from Traditional Breast Augmentation

Traditional Breast Augmentation:

  • Often places implants under the muscle (subpectoral)
  • Wider range of implants sizes, including large implants
  • Can be used with saline implants in appropriate patients
  • May provide better soft tissue support for some implants since the pectoralis muscle helps support the implant
  • Involves general anesthesia
  • Commonly used for a wide range of implant sizes

Preservé Breast Augmentation:

  • Typically over the muscle (subglandular)
  • Designed for select patients
  • Focuses on natural contour and subtle enhancement
  • May have less risk of implant movement over time since the pectoralis does not push on the implant
  • Uses advanced Motiva® implant technology
  • Can be performed with intravenous sedation

While subpectoral augmentation remains the most common approach, Preservé offers an alternative for patients with the right anatomy and goals.

Benefits of Preservé™ Breast Augmentation

Potential benefits may include:

  • Minimal implant movement when the pectoralis muscle flexes
  • Preservation of native tissue support
  • Shorter recovery in some cases, although Dr. Goldman uses a rapid recovery technique in all cases
  • Enhanced upper pole and medial fullness

Who Is a Candidate for Preservé™?

Preservé may be ideal for patients who:

  • Want subtle, natural-looking enhancement
  • Prefer smaller implants
  • Have sufficient natural breast tissue that is not too loose
  • Are in good overall health

Patients seeking larger volume increases or with thinner tissue may be better suited for subpectoral breast augmentation. The subpectoral plane is also better for patients who prefer, and are candidates for, saline implants. During your consultation, Dr. Goldman will determine the safest and most effective approach for you.

Recovery After Preservé™ Breast Augmentation

Recovery varies, but many patients experience:

  • Less muscle-related discomfort (since the muscle is not involved)
  • Return to light activities the next day
  • Gradual return to exercise in 2 weeks
  • Patients often use no narcotics after surgery.

Because every patient heals differently, recovery timelines are personalized and discussed in detail during consultation.

Motiva® Breast Implants: Advanced Implant Technology

Preservé is performed using Motiva® breast implants, which feature:

  • Advanced cohesive silicone gel
  • SilkSurface® surface technology, which has a low capsular contracture rate
  • Designed for natural shape and feel

Motiva implants are also used in traditional breast augmentation procedures, including under-the-muscle placement. Learn more about implant options in our guide to Motiva implants.

Related Breast Enhancement Options

Explore a More Refined Approach to Breast Augmentation

Choosing breast augmentation is a personal decision. Surgical planning and technique matter more than the implant. During your consultation, Dr. Goldman will walk you through your options, including whether Preservé with Motiva implants is the right fit for you and your aesthetic goals.


With a focus on dramatic but natural-looking results and thoughtful surgical planning, our team is here to guide you every step of the way.

Frequently Asked Questions about Preservé™ by Motiva

Preservé is a specialized technique using Motiva implants, typically placed over the muscle, designed for natural, subtle enhancement.

No—Preservé refers to the technique. The implants used are Motiva® breast implants.

When performed on appropriate candidates, subglandular placement can be safe and effective. Proper patient selection is essential.

  • Large implants and saline implants have more tendency to stretch the breast tissue over time, so these implants should be placed in the subpectoral plane and not used with the Preservé™ technique. Also, patients who have markedly thin breast tissue, loose breast tissue, or thin, inelastic skin may have better long term results with subpectoral implant placement to help support and camouflage the implant.

Not necessarily—it depends on your anatomy, goals, and implant size. Many patients still benefit most from subpectoral placement.
  • Preservé is ideal for patients who want more upper pole and medial fullness with a small to moderate increase in volume, who have relatively dense breast tissue (even if small volume) and have good skin elasticity and thickness. Since the implant is over the muscle, it will not move significantly with pectoralis flexion and may have less tendency to push laterally (to the side) over the long term after surgery.
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