Preserve™ by Motiva® offers a modern, tissue-conscious approach to breast enhancement designed to protect your natural anatomy while enhancing shape and volume. By prioritizing structural support and sensation, this advanced technique delivers beautifully balanced results and a smoother recovery.
A Sophisticated Advancement in Breast Augmentation
Among the first practices in the region to introduce Preserve™ Breast Augmentation, SVIA® Sacramento brings this innovative, tissue-respecting technique to women seeking a more thoughtful approach to breast enhancement. Our board-certified, fellowship-trained plastic surgeons completed advanced, hands-on training to thoughtfully incorporate this evolution into our established breast surgery program.
The result is a refined method centered on protecting your natural anatomy, maintaining sensation, and supporting long-term breast integrity—while still delivering the soft, elegant, natural-looking outcomes for which our practice is known.
What Is Preserve™?
Preserve™ Breast Augmentation represents a more anatomically mindful approach to enhancement. Rather than extensively dividing supportive structures to create an implant pocket, this technique is designed to respect your natural breast framework while carefully preparing space in a controlled, precise manner.
How Preserve™ Differs from Traditional Breast Augmentation
Conventional augmentation techniques often rely on broader tissue dissection to accommodate an implant. Preserve™ takes a more measured approach by minimizing disruption to key internal structures.
This method is designed to:
- Maintain native breast tissue and natural ligament support
- Use controlled tissue expansion instead of aggressive cutting
- Limit disturbance to surrounding muscle and structural anatomy
- Reduce surgical trauma during pocket development
Through specialized instrumentation, tissue is gently separated and radially expanded, helping protect muscular and ligament integrity.
Advanced Implant Technology
Preserve™ is paired with SmoothSilk® Ergonomix2® implants, developed with next-generation surface and gel technology designed to promote softness and natural movement.
Emerging research published in Nature Biomedical Engineering suggests that implant surface characteristics may influence the body’s inflammatory and foreign-body response (Doloff et al., 2021).
In addition, early clinical evaluation of Ergonomix2® implants has demonstrated favorable safety data and natural-appearing aesthetic outcomes in breast augmentation patients (Szychta, 2024).
Preserve™ Benefits
- Soft, beautifully contoured upper fullness without an exaggerated or “overdone” appearance
- Implants that move fluidly with your body, adapting naturally to posture and motion
- Thoughtful pocket creation that promotes long-term stability and consistent positioning
- A more tissue-conscious surgical approach aligned with modern wellness priorities
- Enhancement tailored to your proportions—elevating without overwhelming
- Results that complement your natural breast shape rather than masking it
Are You a Candidate for Preserve™ Breast Augmentation?
You may be an excellent candidate if you:
- Are considering breast augmentation for the first time
- Have healthy skin tone and sufficient soft-tissue coverage
- Have mild drooping or pseudoptosis and hope to avoid a breast lift
- Have not undergone prior breast surgery
- Have mild asymmetry or naturally smaller breast volume
- Prefer natural-looking enhancement with structural support and stability
Preserve™ may not be ideal if you:
- Have significant skin laxity or very thin breast tissue
- Have experienced substantial weight loss that compromised breast support
- Have connective tissue conditions that weaken ligament integrity
- Have moderate to advanced breast ptosis (Grade III or higher) requiring lifting
- Are seeking a dramatic size increase where maximal expansion is the primary goal
Why Choose SVIA® Sacramento?
Dr. Tom Liu and Dr. Jerome Liu are board-certified by the American Board of Plastic Surgery and fellowship-trained in aesthetic plastic surgery, with advanced experience in breast enhancement, reconstruction, and refinement. Their training at nationally respected institutions shaped a surgical philosophy grounded in precision, proportion, and long-term structural integrity. Our Sacramento location features a fully accredited, state-of-the-art surgical suite supported by experienced anesthesia providers and a highly trained perioperative nursing team dedicated exclusively to aesthetic surgery. From consultation through recovery, your care is coordinated, personalized, and meticulously managed.
As part of the SVIA® network, patients benefit from seamless collaboration across our Northern California locations, ensuring consistency in standards, safety protocols, and follow-up care. Innovation is thoughtfully adopted here. We integrate new techniques only after rigorous evaluation, advanced training, and alignment with our core principles: safety first, respect for anatomy, and beautifully natural results that stand the test of time.
What to Expect Before, During, and After
Consultation
Your experience begins with a comprehensive, surgeon-led evaluation:
- We assess skin quality, tissue characteristics, chest wall anatomy, and overall proportions before discussing your aesthetic goals in detail
- Implant options, sizing strategy, incision planning, and long-term considerations are reviewed thoroughly so you can make an informed, confident decision
Preserve™ Breast Augmentation represents a premium, technology-integrated technique. At SVIA® Sacramento, investment is typically approximately $18,000, which includes:
- Surgeon’s fee
- Accredited operating suite costs
- Board-certified anesthesia services
- Specialized surgical instrumentation and devices
Final pricing is confirmed following your personalized assessment.
Procedure
- Precision Incision Placement: Your surgery is performed under general anesthesia in our fully accredited surgical facility. A carefully measured incision—most commonly concealed within the inframammary fold—is created to optimize access while supporting refined scar healing.
- Tissue-Conscious Pocket Development: Using specialized instrumentation, tissue is gently separated and radially expanded rather than extensively divided, helping maintain structural integrity.
- Implant Placement: The SmoothSilk® Ergonomix2® implant is inserted using a no-touch technique to support sterility and optimal positioning.
- Meticulous Closure: Incisions are carefully closed in layered fashion to promote smooth healing and discreet scar formation.
Recovery & Results
Because this technique is designed to limit tissue disruption, many patients describe a smoother early recovery compared to traditional augmentation methods:
- First 48–72 hours: Mild to moderate swelling and chest tightness.
- Around 1 week: Return to light daily activities.
- 2–3 weeks: Gradual reintroduction of exercise.
- 6–12 weeks: Implants settle and soften.
- 3–6 months: Final shape, movement, and contour appear increasingly natural.
Throughout your recovery, our Sacramento team remains closely involved.
Alternative or Complementary Options
Depending on your anatomy and aesthetic goals, other approaches may be more appropriate or may be combined with your procedure:
- Conventional breast augmentation using traditional pocket techniques
- Breast augmentation combined with mastopexy (breast lift) for added elevation and reshaping
- Breast lift alone to address skin laxity and restore a more youthful position
- Autologous fat transfer to the breasts for subtle, implant-free volume enhancement
FAQs
How is Preserve™ different from traditional silicone or “gummy bear” implants?
Will Preserve™ impact my ability to breastfeed in the future?
Do breast implants interfere with mammograms?
How long do Preserve™ implants last?
What are the risks associated with Preserve™ Breast Augmentation?
Can Preserve™ improve breast asymmetry?
Will surgical drains be required?
What if I choose to remove my implants in the future?
How is Preserve™ different from traditional silicone or “gummy bear” implants?
Preserve™ refers to the surgical approach, not simply the implant itself. While many augmentations use cohesive silicone implants, Preserve™ combines a tissue-conscious technique with SmoothSilk® Ergonomix2® technology.
Will Preserve™ impact my ability to breastfeed in the future?
Many women with breast implants are able to breastfeed, particularly when incisions are placed within the inframammary fold and glandular tissue is preserved. The Centers for Disease Control and Prevention (CDC) notes that breastfeeding is often possible after augmentation, though milk production varies by individual. Your anatomy, surgical plan, and personal goals will all be discussed in detail during your consultation at SVIA® Sacramento.
Do breast implants interfere with mammograms?
Breast implants do not prevent routine mammography. However, additional implant-displacement views are typically required. The U.S. Food and Drug Administration (FDA) recommends informing your imaging center about your implants so proper techniques can be used.
How long do Preserve™ implants last?
Breast implants are not lifetime devices. Many remain intact and aesthetically stable for well over a decade, but replacement is not required on a predetermined schedule. Ongoing monitoring and periodic evaluations help guide long-term decisions.
What are the risks associated with Preserve™ Breast Augmentation?
All surgical procedures carry inherent risks, even when performed using advanced, tissue-respecting techniques. Potential considerations include:
- Capsular contracture (tightening of scar tissue around the implant)
- Implant rupture or deflation
- Infection
- Bleeding or hematoma
- Changes in nipple or breast sensation
- Implant malposition
- Need for revision surgery
- Rarely, Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL), which has been primarily linked to textured implants
Can Preserve™ improve breast asymmetry?
Mild to moderate asymmetry can often be improved through thoughtful implant selection and precise pocket design. In some cases, differing implant volumes may be recommended to enhance balance. More significant asymmetry may require additional surgical planning, which will be discussed in detail during your evaluation.
Will surgical drains be required?
In most straightforward primary breast augmentations, drains are not necessary. Surgical decisions are individualized and based on intraoperative findings, anatomy, and safety considerations.
What if I choose to remove my implants in the future?
Implant removal, or explantation, is always an option. Depending on tissue quality and aesthetic goals at that time, options may include:
- Implant removal alone
- Implant removal with capsulectomy
- Implant removal combined with a breast lift
Long-term planning is an integral part of your consultation at SVIA® Sacramento, ensuring that both your immediate and future decisions are made with confidence and foresight.
