Preservation Breast Surgery

The Preservé™ Technique for Lasting Integration and Stability

What is the preservation breast surgery?

Preservation Breast Surgery is an anatomy-respecting approach to breast augmentation designed to enhance volume while preserving the natural biomechanics of the chest. Instead of releasing the pectoralis muscle or disrupting supportive fascia, the technique prioritizes muscle function, fascial integrity, and the natural inframammary fold.

Implants are placed in carefully selected tissue planes and sized to match your anatomy and lifestyle. This approach creates results that move naturally and remain stable over time.

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Surgical Steps

Step 1

Tunneling with Motiva® Channel Separator

Step 2

Controlled tissue elongation with Motiva® Inflatable Balloon

Step 3

Deployment of SmoothSilk® Ergonomix2® with the Motiva® Insertion Sleeve

Motiva® Insertion Channel Separator

Creates a precise tunnel for implant placement using a gentle blunt-tip design that separates tissue with minimal trauma, helping preserve the breast’s natural support structures.

What's the difference?

Types of Preservation Surgery

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	Preservation Breast Augmentation	Preservé™ Breast Enhancement
OVERALL APPROACH	Muscle-sparing, fascia-respecting augmentation	Most minimally invasive, maximal tissue preservation
CHEST MUSCLE DISRUPTION	None	None
BREAST TISSUE IMPACT	Minimal	Further minimized with fascia- and ligament-preserving technique
IMPLANTS USED	Motiva Round or Ergonomix®	Motiva Ergonomix® (smaller, custom-selected)
IMPLANT BEHAVIOR	Natural shape and movement	Adaptive teardrop shape when upright
ANESTHESIA	General anesthesia	IV sedation only

is this procedure

Right for you?

Changes in breast shape or position
Implant discomfort or firmness
Desire to remove or downsize implants
Implant position that no longer feels appropriate
Asymmetry or nipple position changes
Preference for lower-maintenance results

Natural breast shape and dynamic movement
Preserved muscle function
Reduced post-operative discomfort
Small, discreet incisions
Results designed to age naturally with the body

Meet Dr. Daniel Gould

Dr. Daniel Gould is a board-certified plastic and reconstructive surgeon in Beverly Hills, CA, specializing in advanced deep plane facelift and neck lift surgery. As a physician-scientist with dual MD and PhD training, his work focuses on the structural mechanics of facial aging, with more than 120 peer-reviewed publications in aesthetic and reconstructive surgery.

Patients seek Dr. Gould for comprehensive facial rejuvenation that restores the underlying SMAS-platysma architecture, improves jawline definition, and reestablishes midface volume without tension or distortion. His approach emphasizes anatomical precision and long-term stability rather than superficial tightening.

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Dr. Daniel Gould portrait – board-certified plastic surgeon in professional setting

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Frequently asked questions

Most patients describe discomfort as mild. Because the chest muscle is not divided and tissue trauma is minimized, recovery is often more comfortable than traditional submuscular augmentation. Prescription medication is provided as needed, and many patients transition quickly to over-the-counter options.

All surgery carries risk, including infection, bleeding, scarring, implant malposition, capsular contracture, or need for revision. Preservation techniques are designed to reduce tissue disruption and support long-term stability, but no procedure eliminates risk. These considerations are reviewed in detail during consultation.

In most cases, yes. This approach is designed to respect glandular tissue and ductal structures. While no surgical technique can guarantee future breastfeeding ability, preservation-based planning prioritizes maintenance of function whenever anatomy allows.

Recovery is typically faster than traditional submuscular augmentation. Many patients return to light daily activities within 5 to 7 days, with gradual progression to full activity over several weeks.

Patients should avoid heavy lifting, strenuous exercise, and chest-focused strain for approximately 4 to 6 weeks to allow stable pocket healing. Post-operative guidance is individualized based on anatomy and implant placement.

Cost varies depending on surgical approach, implant selection, anesthesia type, and individual anatomy. After consultation and anatomical evaluation, a customized surgical plan and detailed cost review are provided.

Do you have additional questions?

Speak with our team to explore whether a tailored, Preservation Breast Surgery anatomy-first approach is right for you.