Preservé Breast Augmentation - is it effective in preserving breast tissue and reducing capsular contracture?

Question

Is the Preservé technique by motiva effective in preserving breast tissue and reducing capsular contracture?

Christopher T. Maloney Jr., MD · Answer

The Preservé technique by Motiva is specifically designed to preserve as much of the native breast anatomy as possible during breast augmentation. Unlike traditional augmentation techniques that may require more extensive pocket dissection, the Preservé approach uses specialized instruments and a more limited dissection to create a precise implant pocket while minimizing disruption of breast tissue and supporting structures. This said, in my practice I have been placing implants in the sub facial position (above the muscle) for many years and also "preserving" as many of the anatomical structures as possible, so essentially doing the Preservé technique without the specialized device. I believe in some patients, the Preservé device can make a difference, but you are limited as to the size of implant.

From a surgical perspective, the Preservé technique (and preserving the structures overall) appears to achieve its goal of reducing tissue trauma and preserving native breast anatomy. Potential advantages include:

Less disruption of breast tissue and supporting ligaments
Less postoperative pain
Faster recovery

In my practice and my opinion, careful pocket dissection, appropriate implant selection, and attention to surgical technique are likely to have a greater influence on tissue preservation than whether the Preservé technique itself is used.

Daniel Barrett, MD · Answer

Dear Itme_e,

capsular contracture happens. In fact, every implant has a capsule form around it, its just a certain percentage develop thick capsules. There is a lot we don't know about it actually. Some think that bacteria that gets on the implant during insertion can increase the risk. Thats why we use a Keller Funnel in our practice to reduce that possibility. Our capsular contracture rate is less than 2% because we use a keller funnel as well as meticulous operating room techniques.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

John L. Burns Jr., MD · Answer

Preserve is a minimally invasive breast augmentation that offers precise tissue preservation without general anesthesia and an ultra fast recovery.  Our patients love the natural results and return to full activity in one week.

Gerald Minniti, MD, FACS · Answer

The implant (Motiva) is what reduces capsular contracture. The technique is what is so totally different. Instead of cutting tissue to create a space, either in the subpectoral, subfascial, or subglandular plane, a balloon is employed in the inter-fascial space between the deep fascia of muscle and the basement fascia of the breast gland. This allows for preservation of the vertical fibers that run through the breast from skin to muscle (Cooper's ligaments). They get pushed out of the way radially, allowing insertion of the very deformable Ergonomix style implant from Motiva. The breast tissue therefore wraps around the edges of the implant creating a 'nest' to support the implant within the confines of the breast.

Luis A. Mejia, MD · Answer

In my opinion, yes, when properly performed. The Motiva Preservé approach focuses on minimal tissue trauma, gentle handling, and precise pocket creation, all of which help reduce inflammation and support healthier healing. This can lower the risk of capsular contracture, especially when paired with the right pocket (subfascial or dual plane) and sound surgical technique.

Whenever you’re ready:
Let’s make it better.

Warmly,
Dr. Luis Mejía, MD
Board-Certified Plastic Surgeon
CECILIP – Dominican Republic

Whenever you’re ready:
Let’s make it better.

Warmly,
Dr. Luis Mejía, MD
Board-Certified Plastic Surgeon
CECILIP – Dominican Republic

Preservé Breast Augmentation - is it effective in preserving breast tissue and reducing capsular contracture?

Answers (5)

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