
Breast augmentation has evolved significantly over the past decade, with new technologies designed to prioritize natural anatomy, surgical precision, and long-term outcomes. One of the most advanced developments is Motiva Preservé®, an innovative approach to breast enhancement that works with your body’s natural structures rather than cutting through them.
At New York Plastic Surgical Group, our board-certified plastic surgeons are committed to offering the most advanced, evidence-based techniques available. Motiva Preservé represents a thoughtful evolution in breast augmentation for patients seeking a refined, modern approach to enhancement.
What Is Motiva Preservé?
Motiva Preservé is a less invasive breast augmentation technique designed to preserve natural breast tissue, internal support structures, chest muscles, and nipple sensation. Instead of cutting through breast tissue to create an implant pocket, Preservé uses specialized tools to gently separate and reposition tissue, creating space for the implant while respecting the breast’s natural anatomy.
This approach is commonly used with Motiva SmoothSilk® Ergonomix® breast implants, which are engineered to move and adapt with the body for a natural look and feel.
Preservé may be an option for:
- Primary breast augmentation
- Breast augmentation combined with a lift (mastopexy)
- Patients seeking a more tissue-conscious surgical approach
How the Preservé Technique Works
The Preservé process follows a carefully controlled, step-by-step approach designed for precision and consistency.
Step 1: Local Tissue Preparation
The procedure begins by numbing the surgical area using a tumescent solution. This can allow for minimal anesthesia while helping prepare the tissue for gentle separation.
Step 2: Small Inframammary Incision
A small incision is made within the inframammary fold—the natural crease beneath the breast—helping keep scars discreet.
Step 3: Tissue Separation Without Cutting
Using the Motiva® Channel Separator, the surgeon creates a narrow pathway to the implant space without cutting through breast tissue.
Step 4: Precision Pocket Creation
A specialized inflatable balloon tool is then inserted and gradually expanded to create a pocket that closely matches the size and shape of the selected implant.
Step 5: Implant Placement
The Motiva SmoothSilk Ergonomix implant is placed into the newly created space, supporting natural breast function while maintaining internal structures.
This controlled process allows surgeons to tailor the implant pocket to each patient’s anatomy with a high degree of accuracy.
The Role of Motiva SmoothSilk Ergonomix Implants
Motiva SmoothSilk Ergonomix implants are uniquely designed to respond to movement and gravity. When standing, the implant takes on a teardrop-like shape; when lying down, it becomes rounder—closely mimicking natural breast behavior.
Key features include:
- Adaptive movement with changes in position
- A smooth surface designed to interact gently with surrounding tissue
- Compatibility with smaller incisions, making them well-suited for Preservé techniques
Together, the implant and Preservé system are designed to support natural aesthetics, stability, and long-term performance.
Potential Benefits of a Tissue-Preserving Approach
While individual experiences vary, Motiva Preservé is designed to offer several potential advantages compared to traditional breast augmentation techniques, including:
- Smaller incisions
- Reduced tissue disruption
- Potential preservation of nipple sensation and chest muscle function
- Low inflammation and complication rates reported in clinical data
- Enhanced implant stability over time
Your surgeon at New York Plastic Surgical Group will help determine whether this approach aligns with your anatomy, goals, and surgical plan.
Is Motiva Preservé Right for You?
Motiva Preservé is not a one-size-fits-all solution. Ideal candidates are typically women who:
- Are considering their first breast augmentation
- Value tissue preservation and long-term breast health
- Prefer a modern, technology-driven approach to enhancement
- Are at least 22 years old and in good overall health
A personal consultation with a board-certified plastic surgeon at New York Plastic Surgical Group is the best way to explore whether Preservé is appropriate for your individual needs.
Experience Advanced Breast Augmentation at New York Plastic Surgical Group
New York Plastic Surgical Group offers comprehensive breast augmentation care, combining advanced technology with the expertise of fellowship-trained, board-certified plastic surgeons. Our team takes a personalized approach to every procedure, ensuring your treatment plan aligns with your anatomy, lifestyle, and aesthetic goals.
If you’re considering breast augmentation and would like to learn more about Motiva Preservé breast implants, we invite you to request a consultation with Dr. Addona or Dr. Kilgo.

