Preservé™ Breast Augmentation: A Tissue-Preserving Approach to Natural Breast Enhancement

For decades, breast augmentation has been one of the most commonly performed and personally meaningful procedures in aesthetic plastic surgery. As techniques and implant technology have evolved, so too have our goals—not simply to enhance breast shape and volume, but to preserve natural anatomy where possible, support a smoother recovery, and help create results that look and feel authentically you.

At Beleza Plastic Surgery, we have always believed that beautiful outcomes begin with thoughtful surgical planning and meticulous technique. Dr. Anna Wooten has performed hundreds of breast augmentations using proven, time-tested methods, most commonly placing silicone implants beneath the pectoralis muscle through a carefully concealed incision in the inframammary fold.

Today, we’re excited to offer something new.

Preservé™ by Motiva® offers a newer approach to breast augmentation, combining advanced implant technology with a tissue-preserving surgical technique designed to reduce disruption to the body’s natural anatomy. While traditional breast augmentation remains an excellent option for many women, Preservé may be an appropriate alternative for carefully selected patients seeking a less invasive experience. 

A Tradition of Excellence in Breast Augmentation

Every innovation in surgery should be measured against decades of proven success.

Dr. Anna Wooten, a board-certified plastic surgeon and Fellow of the American College of Surgeons (FACS), is known for delivering elegant, natural-looking breast enhancement with patient safety as a central priority. Her surgical training, attention to detail, and aesthetic approach have made breast surgery an important part of her boutique plastic surgery practice.

For many years, Dr. Wooten has primarily performed breast augmentation using silicone gel implants placed beneath the pectoralis muscle (submuscular placement). This technique has remained the gold standard for many patients because it offers:

The procedure is performed through a discreet incision hidden within the inframammary fold, allowing precise implant placement while minimizing visible scarring.

This technique continues to be an excellent choice for many women—and at Beleza Plastic Surgery, it remains one of our most commonly performed cosmetic procedures.

Why Breast Augmentation Is Changing

Modern patients often have different priorities than they did twenty years ago. Many women today are looking for:

These goals have contributed to growing interest in tissue-preserving surgical techniques. Preservé was developed around this philosophy.

Rather than creating an implant pocket through traditional surgical dissection, Preservé uses specially designed instruments that gently separate and expand natural tissue planes while preserving many of the ligaments, blood vessels, nerves, and supporting structures within the breast. 

What Makes Preservé Different?

Traditional breast augmentation and Preservé share the same ultimate goal: creating beautiful, natural-looking breasts.

The difference lies in how the implant is placed.

Traditional augmentation involves carefully creating an implant pocket through controlled surgical dissection. Preservé instead utilizes a sequence of specialized instruments designed specifically for tissue preservation. These include:

Instead of dividing tissue, the breast is encouraged to stretch naturally around the implant. This approach is intended to preserve more of the breast’s natural architecture. 

Potential Benefits of Preservé

Although long-term data continue to accumulate, early clinical experience suggests several potential advantages for appropriately selected patients.

Potential advantages include:

Smaller Incisions

Traditional breast augmentation typically requires an incision of approximately 3–4 cm.

Preservé may reduce this to around 2.5–3 cm in appropriately selected patients. 

Less Tissue Trauma

Because muscles and supporting structures may be disturbed less extensively, some patients may experience:

The philosophy is preservation rather than reconstruction.

Faster Recovery

Some Preservé patients may return to normal daily activities sooner than is typical after conventional breast augmentation.

Recovery always varies between individuals, but minimizing tissue disruption may support a more comfortable healing process for certain patients. 

Preservation of Breast Anatomy

One of the central goals of Preservé is maintaining more of the breast’s natural:

By respecting normal anatomy, surgeons hope to preserve natural breast movement and sensation over time. 

Is Preservé Better Than Traditional Breast Augmentation?

Not necessarily.

It’s different.

And different doesn’t always mean better.

Traditional breast augmentation remains one of the most studied cosmetic operations in medicine, with decades of safety data and high patient satisfaction worldwide.

For women seeking larger implants, significant changes in breast shape, or more complex revisions, traditional techniques may still be the preferred approach.

Preservé is best viewed as an additional option rather than a replacement.

At Beleza Plastic Surgery, Dr. Wooten believes every operation should be tailored to the individual patient—not every patient to a single operation.

Who Is an Ideal Candidate?

Preservé may be an excellent option for women who:

Patients requiring larger implants, breast lifts, revision surgery, or more complex reconstruction may still benefit more from conventional techniques. 

The Role of Motiva® Implants

Preservé is designed specifically around Motiva® Ergonomix® breast implants.

Motiva is widely used internationally and is known for its focus on implant engineering, surface design, and biocompatibility.

Several features distinguish Motiva implants from many previous-generation implants.

SmoothSilk® Surface

Rather than using traditional textured surfaces, Motiva implants utilize a proprietary SmoothSilk® surface designed to support favorable interaction with surrounding tissue. 

Ergonomix® Technology

One of Motiva’s notable design features is the Ergonomix implant.

Unlike implants that maintain a fixed shape regardless of body position, Ergonomix implants are designed to behave more like natural breast tissue.

When standing, the implant settles into a gentle teardrop shape.

When lying down, it becomes rounder, which is intended to more closely resemble the movement of native breast tissue. 

ProgressiveGel® Technology

The proprietary silicone gel is designed to combine softness with structural support, helping the implant feel natural while maintaining shape over time. 

Advanced Safety Features

Motiva implants also incorporate several manufacturing innovations, including quality-control technologies and optional implant identification features that improve traceability and long-term documentation. 

Why Surgical Experience Still Matters

Technology is only one part of achieving a successful result.

Choosing the right implant size, selecting the proper technique, creating symmetry, and understanding each patient’s anatomy remain the surgeon’s responsibility.

Dr. Anna Wooten’s experience performing breast surgery helps guide the decision about which technique best fits each patient’s anatomy and goals.

Some patients will still benefit most from traditional submuscular breast augmentation.

Others may be ideal candidates for Preservé.

Rather than promoting one technique over another, our philosophy is simple:

Choose the operation that is best for the patient.

Why Preservé May Cost More

Patients often notice that Preservé carries a somewhat higher price than traditional breast augmentation.

Several factors contribute to this:

For some patients, these factors may make the additional investment worthwhile, particularly if minimizing recovery and preserving natural anatomy are among their highest priorities.

Personalized Care at Beleza Plastic Surgery

As a woman-led boutique plastic surgery practice, Beleza Plastic Surgery emphasizes personalized care, clear communication, and thoughtful surgical planning.

From your first consultation through your final postoperative visit, Dr. Anna Wooten and her team take the time to understand your goals, answer your questions, and guide you toward the option that best aligns with your anatomy and lifestyle.

Whether that means a traditional breast augmentation using a trusted submuscular approach or a tissue-preserving Preservé technique, our commitment remains the same:

Beautiful, natural-appearing results delivered with uncompromising attention to safety, precision, and patient experience.

Schedule Your Consultation

If you’re considering breast augmentation and would like to learn whether Preservé or a traditional approach is right for you, we invite you to schedule a personalized consultation with Dr. Anna Wooten, FACS.

Together, we’ll discuss your goals, review your anatomy, explore your options, and develop a customized surgical plan designed specifically for you—because the best breast augmentation is the one that’s tailored to your body, your lifestyle, and your vision of confidence.