Motiva Preservé - can it be placed subfascially?

I think you need a lift but if you just want more volume an implant would accomplish that. Fat transfer is often disappointing. You can’t achieve much volume increase with fat transfer

In my opinion, at your age it’s reasonable to avoid a lift for now if sagging is minimal. For a natural result with the least long-term issues, I generally recommend round implants placed under the muscle (dual plane). They age well, avoid rotation risks, and give soft upper-pole fullness. A l...

The older 83% vs 17% breastfeeding numbers are outdated and oversimplified. Current evidence and clinical experience show that both under-the-muscle (UTM) and over-the-muscle (OTM) implants can allow successful breastfeeding. What matters more than the implant plane is surgical...

I am one of the 22 surgeons in the US conducting the ongoing Motiva USA FDA Trials (year 6 of 10). Worldwide there are approximately 4.5 million women with Motiva implants going as far back as 2010. Benchtop research into the current surface of Motiva implants centered around fibroblast and...

The size recommendation may be able to achieve your goals. However, due to the shape asymmetry you may need to consider a lift on one or both breasts (depending on whether your nipples are located at or below your breast fold.) This would give you the fullness that you’re looking for.

Based on the findings, this is not simply small breasts — it is most consistent with an advanced (moderate–severe) tuberous breast deformity.Why this is tuberous (and more advanced)Your description includes several classic and significant signs:Large, soft, puffy areolae relative to b...