Natural Breast Augmentation, Faster Recovery | Motiva Preservé™
A New Approach to Breast Augmentation
Many women researching breast augmentation today are looking for something different than patients were asking for twenty years ago.
Rather than focusing solely on cup size, many women are asking about natural results, recovery and long-term comfort. They want breasts that fit their frame, move naturally and feel like a natural part of their body. They also want to understand how quickly they can return to work, exercise and daily life after surgery.
As patient preferences have evolved, breast augmentation has evolved as well.
Advances in implant technology, surgical technique and patient selection have expanded the options available to women seeking natural-looking enhancement.
One of the newest developments is Motiva Preservé™, a breast augmentation technique designed around tissue preservation and recovery.
How Breast Augmentation Has Evolved
Breast augmentation has never been a one-size-fits-all procedure. Every patient brings a different anatomy, different goals and a different vision of what they hope to achieve. For years, surgical planning has centered around a few key decisions that ultimately shape the final result.
Every breast augmentation plan begins with three fundamental questions:
- Which implant should be used?
- Where should the implant be placed?
- Which incision should be used?
Those decisions remain just as important today. Implant shape, implant cohesiveness, tissue thickness, implant placement and incision choice all continue to influence both the final result and the recovery experience.
What has evolved is how surgeons create the implant pocket itself.
Motiva Preservé™ was developed around this concept. Rather than relying on traditional surgical dissection alone, the technique utilizes specialized instrumentation designed to create the implant space while preserving more of the surrounding tissues.
How Motiva Preservé™ Works
The biggest difference with Motiva Preservé™ is not the implant itself. It is how the implant pocket is created.
The procedure utilizes specialized instrumentation designed to create space for the implant while preserving more of the surrounding tissues.
Step 1
Small incision placed in the inframammary fold for Motiva Preservé™ breast augmentation.
Step 2
Controlled tissue expansion creates the implant pocket without traditional surgical dissection.
Step 3
Specialized instrumentation prepares the pocket for placement of a Motiva Ergonomix® implant.
Why Recovery Has Become Part of the Conversation
One of the biggest reasons patients become interested in Motiva Preservé™ is recovery.
For many women, the question is not simply how their breasts will look after surgery. They also want to know how quickly they can return to work, exercise, caring for their children and the activities that make up daily life.
Because the procedure is performed above the muscle, there is no muscle release and no muscle healing. Patients typically experience less chest tightness and greater freedom of movement during the early stages of recovery.
Many women are surprised by how comfortable they feel after surgery and how quickly they return to their normal routines.
Common benefits associated with the recovery experience include:
- Less chest tightness
- Full arm mobility immediately after surgery
- No muscle-related discomfort
- Earlier return to normal daily activities
- A more comfortable overall recovery experience
Recovery is one of the primary reasons patients explore Motiva Preservé™. However, recovery alone does not determine the success of a breast augmentation. The best result still depends on selecting the right implant, the right surgical approach and the right patient.
Natural Results Still Depend on Implant Selection
While Motiva Preservé™ has generated attention because of its recovery profile, the final result is still heavily influenced by implant selection.
Different implants create different breast shapes.
Some implants are firmer and create more upper pole fullness. Others are softer and designed to mimic the behavior of natural breast tissue. Implant width, projection and cohesiveness all influence how the breast will look after surgery.
The most natural result is rarely determined by a single implant or a single technique.
Instead, it comes from selecting the right implant for the patient’s anatomy, tissue characteristics and goals.
Examples of Natural Enhancement
Mini Profile (150cc)
Subtle volume restoration with a natural shape designed to enhance existing breast contours while maintaining proportion.
Demi Profile (230cc)
Moderate volume enhancement that increases fullness while preserving balanced proportions and a natural appearance.
Full Profile (295–315cc)
Greater volume enhancement that creates additional fullness while maintaining natural contours and proportion.
Images courtesy of Motiva®. These photographs are provided for educational purposes to demonstrate different implant profiles and are not representative of Dr. Frew’s patients. Individual results vary based on anatomy, implant selection and surgical technique.
Who Is a Candidate for Motiva Preservé™?
Motiva Preservé™ is designed for women seeking natural-looking breast enhancement and a faster recovery.
The best candidates:
- Want a natural result
- Want to remain proportional to their frame
- Have good breast tissue coverage
- Have good skin quality
- Are comfortable with a smaller implant size
- Value recovery as much as they value size
Many candidates are women who have lost volume after pregnancy, breastfeeding or weight changes and want to restore fullness without creating an obviously augmented appearance.
One of the defining characteristics of Motiva Preservé™ is implant size. The procedure is generally performed with implants up to approximately 300 to 315cc. The focus is not on creating the largest breasts possible. The focus is on creating balanced, natural-looking results that fit the patient’s anatomy.
Why Patient Selection Matters
Not every woman seeking breast augmentation is a candidate for Motiva Preservé™.
One of the most important factors is tissue thickness. If a patient is very thin and has limited breast tissue coverage, placing an implant above the muscle is often not the best option. Without enough tissue covering the implant, visible implant edges and rippling become more likely.
Implant size also matters. Motiva Preservé™ was developed for natural enhancement and proportional results. Patients seeking a much larger augmentation are often better served with a different breast augmentation approach.
This is why consultation is so important. The decision is not simply about implant size. It is about tissue thickness, skin quality, implant goals and selecting the surgical approach that will create the best long-term result.
Is Motiva Preservé™ Right for You?
Motiva Preservé™ is designed for women seeking natural-looking breast enhancement and a faster recovery. For the right patient, it offers an exciting alternative to traditional breast augmentation.
The best procedure is not always the newest procedure. It is the procedure that best fits the patient’s anatomy and goals.
During consultation, Dr. Tyler Frew evaluates breast shape, tissue thickness, skin quality and implant goals to determine whether Motiva Preservé™ is the right choice or whether a traditional breast augmentation approach will produce a better result.
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Motiva Preservé™ FAQs
Are Motiva implants FDA approved?
Yes. Motiva SmoothSilk® Round and SmoothSilk® Ergonomix® silicone gel breast implants received FDA approval in September 2024 for breast augmentation in women 22 years of age and older.
Are Motiva implants safe?
Three-year FDA clinical trial data demonstrated low complication rates and high patient and surgeon satisfaction. Long-term follow-up studies have continued to support favorable safety outcomes.
How long have Motiva implants been studied?
Motiva implants were first introduced internationally in 2010 and have been evaluated in prospective clinical trials and long-term follow-up studies extending beyond six years.
What are Motiva Ergonomix® implants?
Motiva Ergonomix® implants are designed to move more naturally with the body. Their gel characteristics allow the implant to adapt to changes in body position, helping create a breast shape that behaves more like natural breast tissue.
Do Motiva Ergonomix® implants look and feel natural?
Motiva Ergonomix® implants were developed to adapt to body position and movement. When standing, the implant distributes more volume toward the lower portion of the breast, while maintaining softness and shape when reclining. Published studies have reported high patient satisfaction with appearance and feel.
Why are patients interested in Motiva Preservé™?
Most patients are interested in natural-looking results and recovery. Motiva Preservé™ was developed as a tissue-preserving breast augmentation technique that avoids muscle release and minimizes disruption to surrounding tissues.
Is Motiva Preservé™ performed above the muscle?
Yes. Motiva Preservé™ is specifically designed for above-the-muscle implant placement and is performed without releasing the pectoralis muscle.
Who is a candidate for Motiva Preservé™?
Motiva Preservé™ is designed for women seeking natural-looking breast enhancement and a faster recovery. Good candidates generally have adequate breast tissue coverage, good skin quality, and goals centered around restoring volume rather than achieving the largest possible augmentation.
Who is not a candidate for Motiva Preservé™?
Patients with very thin tissue coverage are often better served by a different implant placement strategy because implant edges and rippling become more visible when there is not enough tissue covering the implant. Patients seeking significantly larger implants may also achieve better results with a different breast augmentation approach.
What implant sizes are typically used with Motiva Preservé™?
Motiva Preservé™ is intended for natural, proportional enhancement rather than dramatic enlargement. Implant size is determined by the patient’s anatomy, tissue characteristics and aesthetic goals.
Is Motiva Preservé™ better than traditional breast augmentation?
Not necessarily. Traditional breast augmentation remains an excellent option for many patients. Motiva Preservé™ simply provides another approach. The best procedure depends on anatomy, tissue thickness, implant goals and the result the patient hopes to achieve.
How does Dr. Frew determine if Motiva Preservé™ is right for me?
During consultation, Dr. Tyler Frew evaluates breast shape, tissue thickness, skin quality, implant goals and body proportions to determine whether Motiva Preservé™ or a traditional breast augmentation approach will create the best long-term result.
Elite Surgical Skill in Breast & Body Aesthetics
Dr. Tyler Frew is a board-certified plastic and reconstructive surgeon specializing in aesthetic surgery of the breast and body.
He is known for delivering natural-looking results through advanced techniques in breast enhancement, tummy tuck, liposuction, and mommy makeover procedures.
Dr. Frew combines surgical expertise with compassionate, patient-focused care, helping each individual restore confidence and achieve their personal aesthetic goals.
Learn More About Breast Surgery
Richard V. Balikian, MD, FACS
Double Board-Certified Facial Plastic Surgeon
Balikian Facial Plastic Surgery: Richard V. Balikian, MD, FACS
Tyler Frew, MD
Board-Certified Plastic Surgeon
