What is Preservé – Motiva’s Breast Implant?

Breast augmentation remains one of the most frequently performed aesthetic procedures around the world. While motivations for surgery vary, many people seek options that offer a balance between enhancing their appearance and preserving the body’s natural structures. As innovation in breast implant technology continues to evolve, new techniques and devices have emerged that aim to meet these expectations.

One such development is Preservé, a breast implant system introduced by Motiva. It combines an advanced silicone implant (Motiva Ergonomix2®) with a surgical technique that prioritises tissue preservation. This dual focus offers an alternative for individuals who are researching modern breast augmentation methods that differ from traditional approaches.

This article is designed for individuals exploring cosmetic interventions or preparing for a consultation with a plastic surgeon. It provides neutral, fact-based information about the Preservé approach, including what the procedure involves, who may consider it, and the potential risks and recovery expectations.

What is Preservé – Motiva’s Breast Implant?

Preservé refers to a specific technique and implant system created by Establishment Labs under the Motiva brand. It includes both the implant and the surgical method used to insert it. The two elements are designed to work together to minimise disruption to natural breast tissues and provide outcomes that align more closely with the natural anatomy and movement of the body.

Motiva Ergonomix2® implants are silicone breast implants engineered to mimic the natural movement and appearance of breast tissue. They respond to posture and motion, adapting to how the body moves, whether standing, lying down, or engaging in physical activity. These implants are designed with advanced materials and surfaces to support integration and reduce tissue reaction.

The surgical approach, part of the Preservé system, is focused on preserving breast structures such as muscles and nerves. This often involves smaller incisions, no-touch insertion techniques, and implant placement above the muscle (prepectoral or subfascial) to reduce post-operative discomfort and support a more natural look and feel.

Implant Characteristics

The ergonomic shape of Motiva Ergonomix2® implants allows them to shift naturally with gravity and motion, rather than maintaining a fixed shape. This can contribute to a more realistic appearance in various positions. The SmoothSilk® surface is engineered to minimise inflammation by reducing friction with surrounding tissues. The surface texture is nano-scale, which supports tissue adherence while potentially reducing risks associated with textured implants.

Inside the implant, the ProgressiveGel Ultima™ offers soft consistency while retaining shape and structure. This gel mimics the feel of natural breast tissue, providing a softer and more responsive implant. The TrueMonobloc+® construction unifies the implant shell, patch, and gel, contributing to structural resilience and flexibility during insertion and after placement.

Each implant is equipped with an RFID tag that enables non-invasive identification. Healthcare providers can verify implant details using an external scanner, without requiring surgical access or imaging. The BluSeal® visual indicator on the implant adds an extra layer of quality control by verifying implant integrity before it is inserted.

Surgical Technique Features

The Preservé method typically uses a small incision, often between 2.5 and 3.5 centimetres, placed in the natural fold beneath the breast. This can help reduce the visibility of scars and accelerate surface healing. The implant is usually placed in a subfascial or prepectoral plane, above the chest muscle, which may preserve muscular function and reduce associated discomfort during recovery.

Insertion is performed using no-touch techniques such as a Keller Funnel™, a sterile device that allows the surgeon to deliver the implant directly into the breast pocket without physically handling it. This helps to reduce the risk of contamination, lower the incidence of infection, and maintain sterility throughout the procedure.

Together, the Motiva implant and the Preservé surgical method are intended to enhance the outcome of breast augmentation while preserving natural tissue and supporting a smooth post-operative course.

Who Might Consider This Procedure?

Preservé may be an option for individuals seeking a more natural result from breast augmentation, especially if they are concerned about preserving sensation, minimising muscle involvement, or reducing visible scarring. The approach can be suitable for people considering primary breast augmentation, as well as those undergoing implant replacement or revision surgery.

For those who engage in upper-body sports or strength training, avoiding disruption to the chest muscle can be a particular advantage. This method may also appeal to individuals with sufficient natural tissue coverage to accommodate prepectoral implant placement without the need for muscle support.

People who have experienced complications with previous implants, such as implant displacement or capsular contracture, might also explore the Preservé approach, depending on their clinical evaluation and the recommendations of their surgeon.

A full consultation with a qualified plastic surgeon is essential. Suitability will depend on factors such as breast anatomy, skin quality, general health, personal preferences, and prior surgeries. The practitioner will assess whether the individual’s goals align with the expected outcomes of this method.

Procedure Overview

The Preservé procedure is typically performed in an accredited surgical facility or hospital. Most cases are done under general anaesthesia, although some clinics may offer sedation where appropriate. The surgery is performed by credentialed plastic surgeons, whose qualifications vary by country: in the United States, board certification by the American Board of Plastic Surgery (ABPS); in the UK, inclusion in the GMC Specialist Register for Plastic Surgery; and in Australia, Fellowship of the Royal Australasian College of Surgeons (FRACS) in Plastic Surgery.

Before the procedure, patients undergo a full pre-operative assessment. This includes a medical history, physical exam, and possibly imaging such as ultrasound or mammography. The surgeon will explain the procedure, review goals and expectations, and obtain informed consent.

During surgery, a small incision is made in the inframammary fold. A pocket is then created above the pectoralis major muscle. The implant is introduced into the pocket using a sterile, no-touch technique. Once the implant is in place and symmetry is confirmed, the incision is closed with absorbable sutures. A surgical dressing is applied, and a support garment may be provided.

After surgery, the patient is monitored in recovery before being discharged home with instructions on wound care, medications, activity restrictions, and follow-up visits. The entire procedure typically takes one to two hours, with same-day discharge for most patients.

Risks, Considerations, and Limitations

All surgeries carry risk, and breast augmentation with Preservé is no exception. General surgical risks include bleeding, infection, delayed healing, and adverse reactions to anaesthesia. Specific risks associated with breast implants include capsular contracture, implant rupture, displacement or rotation, changes in nipple or breast sensation, and dissatisfaction with aesthetic results.

Though rare, there is also a risk of Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL). While Motiva’s SmoothSilk® surface is classified as smooth and has not been strongly linked to BIA-ALCL, it is important for patients to understand that all implants carry some degree of risk.

Limitations of the Preservé approach include suitability only for certain body types and tissue characteristics. Not all individuals will have the anatomical features required for prepectoral implant placement. Additionally, while smaller incisions and preserved tissues may lead to faster healing, this is not guaranteed. Outcomes can vary depending on individual health, lifestyle, and how well post-operative instructions are followed.

Informed consent involves a full discussion of risks and benefits, and patients are encouraged to ask questions and weigh options carefully before proceeding.

Recovery and Aftercare

Recovery experiences vary widely. Some patients may return to non-strenuous activities within a few days, while others require more time for swelling and discomfort to resolve. It is common to experience tightness, bruising, and soreness during the first week.

Patients are typically advised to wear a support garment continuously for several weeks to help stabilise the implant and reduce swelling. Sleeping on the back and avoiding upper-body exercise are usually recommended during the initial phase of recovery.

Follow-up appointments are important to monitor healing, assess implant position, and detect any early signs of complications. Long-term monitoring may include imaging or regular check-ins with the surgeon.

Instructions on bathing, dressing changes, physical activity, and return to work or social activities will be tailored to each individual. Most patients resume light daily tasks within a week, while full recovery may take several months.

Cost Considerations

The total cost of Preservé breast augmentation depends on several elements: the surgeon’s experience, the facility used, anaesthesia fees, the implant type, and whether post-operative garments and care are included.

In urban centres or private hospitals, prices may be higher due to overhead and demand. Costs also reflect the complexity of the technique, materials used, and individualised care. Motiva Ergonomix2® implants are premium products and typically cost more than standard implants.

Estimated total costs range from AUD $10,000 to $15,000 in Australia, USD $8,000 to $12,000 in the United States, and GBP £6,000 to £9,000 in the UK. These figures include all surgical and implant-related fees, but prices may vary.

Since breast augmentation is considered elective in most cases, health insurance generally does not cover the procedure. Some providers offer payment plans or financing, and patients are encouraged to request a detailed quote outlining all associated costs.

Choosing a Qualified Practitioner

Selecting the right provider is a crucial step in achieving a safe and satisfactory outcome. Patients should begin by checking the surgeon’s credentials. In the United States, look for certification by the American Board of Plastic Surgery. In the UK, ensure the surgeon is on the General Medical Council’s (GMC) Specialist Register. In Australia, verify that the surgeon is a Fellow of the Royal Australasian College of Surgeons (FRACS) in Plastic Surgery and registered with AHPRA.

It is also important to confirm that the procedure will be performed in an accredited facility with appropriate emergency protocols. Ask how often the surgeon performs breast augmentation and whether they have specific experience with the Preservé technique and Motiva implants.

Patients may also review before-and-after photos of previous patients, read independent reviews, and seek referrals or second opinions. A trustworthy provider will offer a clear explanation of the procedure, alternatives, risks, and expected outcomes.

Questions to Ask During a Consultation

Patients preparing for a consultation may find the following questions helpful:

• Am I a suitable candidate for the Preservé technique based on my anatomy and goals?
• How does this method compare to traditional breast augmentation in terms of recovery and outcome?
• What are the risks specific to the Motiva implant and this surgical approach?
• Can you explain the long-term expectations and whether revision surgery may be needed in the future?
• Do you have examples of similar cases and outcomes you can share?
• What type of anaesthesia will be used, and where will the procedure take place?
• What is included in the cost, and what additional expenses should I anticipate?
• What will the recovery process involve, and what support do you provide afterwards?

FAQs About Preservé – Motiva’s Breast Implant

Final Thoughts

Preservé represents a thoughtful evolution in breast augmentation techniques. By combining an innovative implant design with a surgical approach that values anatomical preservation, it offers an option for individuals looking for more than just volume enhancement. While the method may be suitable for many, it is not universally applicable.

The most appropriate path forward is one based on individual assessment, reliable medical guidance, and open communication. Consultation with a qualified and credentialed plastic surgeon is essential to determine whether this procedure meets your specific needs, expectations, and health considerations.

Choosing a breast implant method is a personal decision that should be informed by evidence, professional advice, and realistic expectations – not marketing or social trends. This article is intended to serve as an educational resource to support your journey toward making informed, safe, and considered choices.

Further Reading

• Breast Implants Perth | Breast Augmentation
• Benefits of Motiva Breast Implants – Anca Breahna
• Mentor vs Motiva Breast Implants – Dr Michael Kernohan
• Finding the Best Breast Implant Size: The 2025 Comprehensive Guide
• Dr Mark Kohout on Motiva Implants: Tailored Options for Your Aesthetic Goals