Preservé by Motiva

A Gentler Approach to Breast Augmentation 

If you are considering breast augmentation, you have more options today than ever before, and not only in the implants themselves. How the implant is placed matters just as much. Preservé by Motiva is a breast augmentation system built around one idea: the less the surrounding tissue is disturbed during surgery, the more comfortable your recovery can be and the more natural your result can look and feel.

At AW Plastic Surgery in Portsmouth, NH, board-certified plastic surgeon Dr. Anthony Wilson offers Preservé for patients who want the results of breast augmentation with an approach designed to protect the breast tissue, chest muscle, and nipple sensation they already have. Whether you are exploring augmentation for the first time or comparing techniques, our team can help you determine whether Preservé is the right fit for your goals.

What Is Preservé by Motiva?

Preservé is a breast augmentation system developed by Motiva. It combines a Motiva SmoothSilk Ergonomix implant with two specialized instruments and a refined surgical technique, all designed around one goal: creating the implant pocket with as little disruption to your natural anatomy as possible.

In a traditional breast augmentation, the surgeon creates the implant pocket by dividing tissue. Preservé takes a different route. Rather than cutting through the tissue layers, the instruments gently separate and move them aside, then hold the space open while the implant is placed.

The Technology Behind Preservé

The Motiva Channel Separator

This instrument creates a narrow tunnel through the tissue without cutting it, giving Dr. Wilson access to the pocket location while leaving the surrounding structures intact.

The Motiva Inflatable Balloon

Once the channel is created, a small balloon is inserted and gradually inflated. It eases the tissue aside to form a precise, smooth pocket sized to the implant, rather than a pocket carved out by dissection.

The Motiva SmoothSilk Ergonomix Implant

Preservé uses Motiva Ergonomix implants with the SmoothSilk surface. These are the implants already offered at AW Plastic Surgery, known for a shell designed to promote biocompatibility, a gel that shifts naturally with your body’s movement, and embedded Q Inside Safety Technology that allows the implant to be identified with a scanner.

How Preservé Differs From Traditional Breast Augmentation

• The pocket is created by separating tissue rather than cutting through it
• A small incision is placed in the natural fold beneath the breast
• The technique is designed to preserve the chest muscle rather than lift or divide it
• It is designed to protect the nerves that supply nipple sensation
• A no-touch insertion approach limits the implant’s contact with skin and reduces contamination risk
• Most patients need less anesthesia than a traditional augmentation requires. In select patients, Preservé can be done without a general anesthetic

Benefits of Preservé

Patients considering Preservé are usually drawn to it for a few reasons:

• A recovery designed to be quicker and more comfortable than traditional augmentation
• A smaller, discreet incision in the breast fold
• Preservation of your own breast tissue, chest muscle, and nipple sensation
• A soft, natural look and feel from the Ergonomix implant’s design
• Same-day discharge, with most patients returning to light daily activity quickly

As with any surgical procedure, results and recovery vary from patient to patient. Dr. Wilson will give you an honest assessment of what Preservé can achieve for your anatomy and goals.

PATIENT TESTIMONIALS

Leah T.

I went to Dr. Wilson after being told by so many of my clients how amazing he is at what he does. I got a breast Aug in January and the process was smooth, enjoyable and overall incredible. His office staff are so friendly, knowledgeable and sweet! I love them all. I am beyond thrilled with my results!

Sophie

I got my breast augmentation 4 months ago and I had the best experience! Everyone is so kind and caring, Dr. Wilson knew exactly what I was looking for and gave me the perfect results I was hoping for. I would do it again with them 100x over I couldn’t recommend them enough!

Maria D.

I highly recommend Dr. Wilson. He is professional, kind, and always very welcoming. He took the time to explain the process of my surgery and was happy to answer any & all questions I had. I am beyond happy with the outcome of my surgery and would 100% recommend him to other people wanting to undergo breast augmentation surgery.

MORE TESTIMONIALS

Who Is a Good Candidate?

Preservé may be a good fit if you:

• Are in good general health and a current non-smoker
• Want to increase breast size or improve breast shape and symmetry
• Have enough natural breast tissue to support an implant placed above the muscle
• Would prefer an approach designed around preserving your existing anatomy
• Have realistic expectations for your results

Not every patient is a candidate. Breast anatomy, tissue thickness, existing implants, and your goals all factor into whether Preservé is the right technique for you, or whether a different approach would give you a better result. Dr. Wilson will tell you honestly which he recommends.

What to Expect

Your Preservé procedure begins with the same careful planning that goes into every surgery at AW Plastic Surgery. Dr. Wilson will size your implants with you, review your incision placement, and walk through your recovery plan before your surgery date.

The procedure itself is typically completed in under an hour. A small incision is made in the fold beneath the breast, the channel and balloon are used to create the pocket, and the implant is placed using a no-touch technique. Most patients return home the same day.

Recovery

Because Preservé is designed to limit tissue disruption, most patients describe a more comfortable early recovery than they expected. Light daily activity typically resumes within a few days.

You will still need to follow a full recovery protocol. Dr. Wilson will give you specific guidance on activity restrictions, support garments, and when you can return to exercise and lifting. Swelling settles over the following weeks, and your final result continues to refine over several months as the implants settle into position.

BOARD-CERTIFIED PLASTIC SURGEON

DR. ANTHONY WILSON

When you are seeking a qualified and talented plastic surgeon, look no further than board-certified Dr. Anthony Wilson with AW Plastic Surgery. Dr. Wilson has a passion for both aesthetic and reconstructive surgery of the face and the body. He takes deep satisfaction in giving his patients the tools they need to feel confident, whole, and beautiful, no matter where they are in their aesthetic journey.

MEET DR. WILSON

Exploring All of Your Options

Preservé is one of several approaches to breast augmentation offered at AW Plastic Surgery. Dr. Wilson also performs traditional breast augmentation with Sientra, Motiva, and gummy bear implants, as well as breast augmentation with fat transfer. If you are still deciding, our breast augmentation page walks through each implant type and what it offers.

Why Choose AW Plastic Surgery

Board-certified plastic surgeon Dr. Anthony Wilson has built his reputation in Portsmouth on results that look natural and care that feels personal. Rather than recommending one technique to every patient, he will tell you honestly which approach suits your anatomy and your goals, even when that is not the newest one.

• Board-certified plastic surgeon performing every procedure personally
• A boutique practice built around privacy and one-on-one attention
• Access to the newest implant technology and techniques
• Straightforward guidance about which approach will actually serve you best

Patients throughout Portsmouth, Dover, Exeter, Hampton, southern Maine, and the greater Boston area trust AW Plastic Surgery for both surgical and non-surgical aesthetic care.

FREQUENTLY ASKED QUESTIONS

Is Preservé a type of implant or a type of surgery?

Both, in a sense. Preservé is a system. It pairs a Motiva implant with specialized instruments and a surgical technique designed to create the implant pocket without cutting through the surrounding tissue. The implant and the technique are meant to work together.

Where is the incision placed?

Preservé uses a small incision in the inframammary fold, the natural crease beneath the breast. This placement keeps the scar discreet and out of view.

Is the implant placed over or under the muscle?

Preservé is designed to place the implant while preserving the chest muscle rather than dividing or lifting it. Dr. Wilson will confirm the right plane for your anatomy during your consultation.

Will I still have nipple sensation?

The Preservé technique is specifically designed to protect the nerves responsible for nipple sensation. As with any breast surgery, changes in sensation are possible, and Dr. Wilson will discuss this with you before your procedure.

How does recovery compare to traditional breast augmentation?

Most Preservé patients go home the same day and resume light daily activity within a few days. Because less tissue is disrupted, many patients report a more comfortable early recovery. You will still follow activity restrictions for several weeks.

How long does the procedure take?

The Preservé procedure is typically completed in under an hour, though your total time at the surgical facility will be longer to allow for preparation and recovery.

Schedule Your Preservé Consultation in Portsmouth

If you are considering breast augmentation and want to learn whether Preservé by Motiva is right for you, schedule a consultation with Dr. Wilson. He will evaluate your anatomy, talk through your goals, and design a plan built around them. At AW Plastic Surgery in Portsmouth, NH, contact our office today to schedule your consultation or request an appointment online.

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