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Care Built Around Your Anatomy

At Austin Plastic & Reconstructive Surgery, Dr. Christine Fisher built her practice around a simple belief: breast surgery should work with a woman's anatomy. Board-certified by the American Board of Plastic Surgery and a Fellow of the American College of Surgeons, Dr. Fisher has spent more than a decade refining breast procedures for her Austin patients, with training from some of the country's most competitive microsurgery and reconstructive programs. Her approach favors precision and tissue preservation over unnecessary disruption. Contact Austin Plastic & Reconstructive Surgery today to schedule a consultation and find out whether this technique fits your goals.

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What Is Motiva Preservé?

Preservé is a breast augmentation technique developed by Motiva, the implant manufacturer behind the SmoothSilk Ergonomix® line. Rather than cutting a traditional pocket for the implant, the technique uses two specialized tools, the Motiva® Channel Separator and Motiva® Inflatable Balloon, to gently create and expand the space the implant will occupy. This gradual process works with your body's existing tissue layers instead of removing or disrupting them. At Austin Plastic & Reconstructive Surgery, Dr. Fisher performs Preservé using Motiva implants selected for each patient's individual anatomy, with the goal of a smaller incision, less tissue dissection, and a soft, natural-looking result.

Benefits of Motiva Preservé

  • Designed to preserve natural breast tissue and supporting structures
  • May reduce tissue dissection compared with traditional augmentation
  • Can be performed through a smaller incision
  • May support a more comfortable, often quicker recovery
  • Personalized Motiva implant selection based on your anatomy and goals
  • Aims for a soft, natural-looking enhancement that moves with your body

Am I a Good Candidate for Motiva Preservé?

You may be a good candidate for Preservé if you're seeking a modest, natural-looking increase in breast volume and have relatively stable breast tissue with minimal sagging. The technique tends to suit patients who want a subtle enhancement rather than a dramatic size change, and who are drawn to a less invasive option that works to protect their existing anatomy. Because candidacy depends on your individual breast tissue, proportions, and goals, Dr. Fisher will evaluate your anatomy and health history during your consultation to determine whether Preservé or another approach is the better fit.

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Why Choose Austin Plastic & Reconstructive Surgery for Motiva Preservé?

Austin Plastic & Reconstructive Surgery is led by an all-female team of board-certified plastic surgeons, including Dr. Fisher, who has performed thousands of breast procedures since founding the practice in 2013 and trained at some of the most rigorous microsurgery and reconstructive programs in the country. That depth of breast-specific experience informs every detail of her approach to Preservé, from tissue handling to implant selection. Patients also benefit from the practice's fully accredited, on-site surgical suite, where board-certified anesthesiologists and a dedicated care team support every step of the procedure from consultation through recovery.

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Your Consultation

Your Preservé consultation begins with an unhurried conversation about your goals, your current breast anatomy, and your medical history. Dr. Fisher will take detailed measurements to assess whether your tissue and proportions suit the technique, walk you through implant options, and explain what results you can realistically expect. You'll have the opportunity to ask questions and voice any concerns, and you'll leave with a treatment plan built around you rather than a one-size-fits-all recommendation.

How Much Does It Cost?

The cost of Preservé varies from patient to patient, depending on factors like implant type and size, the complexity of your anatomy, and whether the procedure is combined with a breast lift. During your consultation, the team at Austin Plastic & Reconstructive Surgery can walk you through a personalized cost estimate along with financing options that may help make treatment more accessible.

What to Expect During Motiva Preservé Treatment

Precise Measurements and Planning

Before your procedure begins, Dr. Fisher takes detailed measurements of your breast anatomy to tailor the technique to you. These measurements help determine the ideal implant size and type to work with your natural tissue while achieving the volume and shape you're hoping for.

Creating the Implant Pathway

After numbing the treatment area, Dr. Fisher makes a small incision in the inframammary fold, the natural crease beneath the breast, and uses the Motiva® Channel Separator to create a tunnel into the breast tissue without cutting it. This step establishes access to the space where the implant will ultimately sit.

Expansion and Implant Placement

Dr. Fisher then uses the Motiva® Inflatable Balloon to gently expand the surrounding tissue, forming a precise pocket sized to match your chosen implant. Once the space is ready, the implant is placed using a no-touch technique that helps protect your tissue and reduce the risk of complications.

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Motiva Preservé Recovery

Because Preservé works with your natural tissue instead of removing it, many patients find recovery more comfortable than with traditional breast augmentation. Plan to have someone you trust nearby for the first day or two, and expect some swelling, bruising, tenderness, or tightness as your body begins to heal. Most patients spend about 48 hours resting quietly at home before gradually resuming light activity, including walking.

From there, recovery tends to progress steadily. By around two weeks, many patients are cleared to return to the gym and resume more normal activity, though some restrictions may still apply depending on your individual healing. Dr. Fisher provides personalized recovery guidance and stays closely involved throughout the process, since every patient's body heals at its own pace.

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Motiva Preservé Results

The goal of Preservé is a subtle, balanced enhancement that reflects your individual proportions rather than a one-size-fits-all silhouette. Because the technique works to preserve your existing tissue and supporting structures, many patients find their results settle into a shape that moves and feels like their own. As with any breast augmentation, your final outcome depends on your anatomy, the implant chosen, and your body's individual healing process, and will continue to refine over the weeks and months following surgery.

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Ways to Use Motiva Preservé

Primary Augmentation

For patients undergoing breast augmentation for the first time, Preservé offers a way to add volume while minimizing disruption to breast tissue that hasn't previously been surgically altered.

Augmentation With a Lift

Patients who want added volume along with a subtle lift may be candidates for Preservé combined with a mastopexy (breast lift). Dr. Fisher will determine during your consultation whether this combined approach suits your anatomy and goals.

Related Procedures

  • Motiva® Implants: Learn more about the implant technology used in Preservé and other augmentation approaches.
  • Breast Lift: Repositions and reshapes breasts affected by sagging, and can be paired with Preservé for added volume.
  • Mommy Makeover: Combines breast augmentation with body contouring procedures to address changes from pregnancy and breastfeeding.
  • Breast Implant Revision: Corrects or updates the results of a previous breast augmentation for patients seeking a change.
  • Breast Asymmetry Correction: Addresses differences in breast size or shape using customized implants, lifting, or reduction.

FAQs

What type of anesthesia is used for Preservé?

Will I have visible scarring after Preservé?

Is Preservé safe, and what are the potential risks?

Will Preservé affect my nipple sensation or ability to breastfeed?

How long will my Preservé results last?

Does insurance cover Preservé breast augmentation?

Can Preservé be used for revision breast augmentation?

What type of anesthesia is used for Preservé?

Anesthesia is individualized based on your preferences, anatomy, and overall health. Preservé may be performed using local numbing or twilight sedation rather than full general anesthesia, depending on what Dr. Fisher determines is appropriate for you at your consultation.

Will I have visible scarring after Preservé?

Because Preservé uses a single small incision in the inframammary fold, the natural crease beneath the breast, scarring is generally more limited than with some traditional augmentation approaches. Dr. Fisher will go over expected incision placement and scar care during your consultation.

Is Preservé safe, and what are the potential risks?

Preservé carries the general risks associated with breast implant surgery, including infection, changes in sensation, capsular contracture (scar tissue tightening around the implant), and the possibility of future revision surgery, since breast implants aren't considered lifetime devices. Dr. Fisher reviews your personal risk factors in detail during your consultation and explains how her team works to minimize them throughout your care.

Will Preservé affect my nipple sensation or ability to breastfeed?

This technique aims to help preserve nipple sensation by minimizing disruption to the breast's natural tissue and nerve pathways, though results vary from patient to patient. If future breastfeeding is a priority for you, be sure to discuss it with Dr. Fisher during your consultation so she can factor it into your treatment plan.

How long will my Preservé results last?

Results can last for many years, though breast implants are not considered permanent devices and may eventually require revision or replacement. Factors like aging, weight changes, and pregnancy can also affect your results over time, which Dr. Fisher will discuss with you during your consultation.

Does insurance cover Preservé breast augmentation?

Because Preservé is considered a cosmetic procedure, it typically isn't covered by insurance. The patient care coordinators at Austin Plastic & Reconstructive Surgery can walk you through expected costs and available financing options so you can plan accordingly.

Can Preservé be used for revision breast augmentation?

This technique may be an option for certain revision cases, though candidacy depends on your existing anatomy and the details of your previous surgery. Dr. Fisher will evaluate your individual situation during a consultation to determine whether Preservé is appropriate for your revision goals.

Begin Your Preservé Journey With Austin Plastic & Reconstructive Surgery

If you're ready to explore a more tissue-conscious approach to breast augmentation, Austin Plastic & Reconstructive Surgery invites you to schedule a consultation with Dr. Fisher. Reach out today to discuss your goals and find out whether Preservé is the right fit for your body and your vision for yourself.

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