This website contains imagery that is only suitable for audiences 18+. Any surgical or invasive procedure carries risks.
This website contains imagery that is only suitable for audiences 18+. Any surgical or invasive procedure carries risks.
Preservé® by Motiva® is a sub-glandular (on top of the muscle) breast augmentation approach designed to reduce disruption to the existing breast structures compared with conventional dual-plane / under the muscle breast augmentation. This approach is most suitable for patient requesting a more subtle increase to breast volume and less invasive muscle and tissue disruption.
The technique uses specialised instruments to create and prepare the implant space through controlled tissue expansion using a channel separator and a balloon, rather than surgical dissection. The aim is to preserve more of the patient’s existing breast tissue and ligamentous supporting structures during implant placement.
Preservé® is performed using Motiva SmoothSilk Ergonomix 2 implants which are softer than the Ergonomics 1 implants and may be considered for selected patients following an individual surgical assessment.
Browse breast augmentation before and after photos from patients treated at COSMEX in Sydney. These breast augmentation before and after images show the range of concerns we assess.
Procedure: Breast Augmentation, 220 CC
Recovery Timeline: 3 weeks
Implant Type: Preservé implant , Motiva
Procedure: Breast Augmentation, 285 CC
Recovery Timeline: 2 weeks
Implant Type: Preservé implant , Motiva
Procedure: Breast Augmentation
Recovery Timeline: 6 weeks
Recovery Timeline: 3 Months
Procedure: Breast Augmentation
Recovery Timeline: 2 Years
Procedure: Breast Augmentation, Fat Grafting
Procedure: Breast Augmentation
Recovery Timeline: 1 year
The outcomes shown relate only to the individual patient and do not necessarily reflect the results other patients may experience. Results vary due to many factors, including genetics, skin quality, surgical approach, diet, exercise and healing response. These images are not intended to guarantee or predict the outcome of any procedure.
Preservé® is a tissue-preservation technique developed for breast augmentation.
Unlike conventional breast augmentation, where the implant pocket may be created through surgical dissection, Preservé® uses purpose-designed instruments to progressively create the space required for the implant above the muscle.
The technique is designed to minimise disruption to the breast’s supportive structures while allowing the existing tissue to be redistributed around the implant.
Preservé® may be considered for:
Suitability depends on individual anatomy, existing breast tissue and the type of surgical change being considered.
Suitability depends on individual anatomy, existing breast tissue and the type of surgical change being considered.
1. Motiva® Channel Separator
The Channel Separator is inserted through a small incision and creates a pathway for the next stage of the procedure.
It is designed to limit disruption to the supportive structures of the breast during preparation of the implant space.
2. Motiva® Inflatable Balloon
The inflatable balloon is then used to gradually and controllably expand the breast tissue.
Rather than creating the implant space primarily through cutting, the tissue is progressively elongated to prepare the pocket and allow the patient’s existing tissue to be redistributed around the implant.
3. Motiva® Insertion Sleeve
The Motiva® Insertion Sleeve is used to assist with placement of the SmoothSilk
Ergonomix2® implant into the prepared breast pocket.
The sleeve allows the implant to be inserted using a no-touch technique, reducing direct handling of the implant during placement.
The main difference is the way the implant space is created.
With conventional breast augmentation, the implant pocket may involve more extensive surgical dissection.
With Preservé®, the implant space is progressively created using specialised instruments and controlled tissue expansion.
The technique is intended to reduce disruption to existing breast tissue and supporting structures compared with conventional augmentation.
The manufacturer describes Preservé® as a less-invasive approach compared with conventional breast augmentation.
The most appropriate approach will depend on each patient’s anatomy and surgical requirements.
Tissue preservation
One of the principles behind Preservé® is preservation of the patient’s existing breast anatomy.
The inflatable balloon gradually expands the tissue rather than relying primarily on cutting to create the implant space. This is intended to preserve existing tissue and allow it to redistribute around the implant.
However, Preservé® remains a surgical procedure, and the suitability of a tissue-preserving approach must be assessed individually
Preservé® may be considered for selected patients seeking breast augmentation where the technique is appropriate for their anatomy.
Suitability will depend on factors including:
During consultation, your surgeon will discuss whether Preservé® or another breast augmentation technique may be more appropriate.
Your consultation is an opportunity to discuss the procedure, available implant options and whether Preservé® is suitable for you.
During your consultation with Dr Sepehr Lajevardi, Specialist Plastic Surgeon – MED0001602957, the assessment may include discussion of:
There is no single breast augmentation technique that is appropriate for every patient. Surgical planning is based on an individual clinical assessment.
As with any surgical procedure, breast augmentation carries risks. The decision to proceed should be made after a thorough consultation with a qualified specialist surgeon. The following summarises potential risks; a comprehensive, individualised discussion happens at your consultation, and you can read more about surgical risk.
Potential risks and complications may include:
Any surgical or invasive procedure carries risks. This is not a complete list; your surgeon will explain the risks specific to you.
Once your treatment plan is agreed, preparation typically includes:
Recovery varies between individuals. The milestones below are a guide only; always follow your surgeon's specific post-operative instructions.
The cost of Preservé breast augmentation varies whether additional procedures (such as a fat grafting or breast lift) are recommended. A personalised quote is provided after your consultation, once your anatomy has been assessed and your goals discussed. The quote typically includes surgeon fees, anaesthetic fees, facility fees and implant costs.
Purely cosmetic breast augmentation is generally not covered by Medicare or private health insurance in Australia. Any question of a rebate is assessed against strict criteria at consultation. All fees are outlined before you decide to proceed.
Starting from: $14990 (all inclusive package for Preservé Ergo 2 implants – Hospital, Surgeon, Anaesthetic, Implants, Assistant, Garment, pre and post op visits, complementary LED and Lymphatic Massage treatments).
Starting From
Indicative pricing only
Final exact cost will be confirmed after consultation.
At COSMEX, we combine surgical expertise with personalised care. Your safety, comfort and understanding are the priority at every stage.
Our surgeons hold Fellowship of the Royal Australasian College of Surgeons (FRACS) in Plastic and Reconstructive Surgery. They are board certified cosmetic plastic surgeons sub-specilising in cosmetic surgery of the breast. You are welcome to verify your surgeon’s credentials via the AHPRA public register and on ANZBCPS, ASAPS, ASPS, RACS, and AHPRA.
All procedures are performed in licensed, accredited hospitals meeting Australian standards for theatre safety, anaesthesia, infection control and emergency care.
Every plan follows a thorough one-on-one consultation assessing your anatomy, concerns, goals and medical history. You receive a personalised implant recommendation, not a standardised package.
Your care continues well beyond surgery, with scheduled follow-ups, access to your surgical team during recovery, and long-term implant monitoring where clinically indicated.
The procedure is suitable for women desiring natural-looking results, including those seeking primary breast augmentation, mastopexy augmentation, or hybrid augmentation.
Ideal candidates should be in a stable physical condition without significant weight fluctuations or immediate plans for pregnancy.
Patients must have realistic expectations and understand that final outcomes depend on factors like skin quality, breast density, and tissue elasticity.
The procedure utilizes Motiva® Implants in volumes ranging from 95cc to 330cc.
Implants are available in Mini, Demi, and Full projections.
The unique geometry of the SmoothSilk® Ergonomix2® implants creates a "tenting effect," where native tissue settles around the implant, resulting in a final breast mound volume approximately 25% higher than the implant volume itself.
Preservé™ is a less invasive breast surgery utilizing a tissue preservation approach that allows for volume increases of up to 4 cup sizes.
Preservé™ is indicated for primary augmentation, tissue preservation mastopexy, and hybrid augmentation, utilizing smaller scars compared to traditional methods.
In contrast, Mia Femtech® is a minimally invasive procedure designed for a discreet enhancement of 1 to 2 cup sizes, performed via the axilla without general anesthesia.
The redistribution of native breast tissue does not increase pressure on the implant and has not been shown to increase the risk of rippling or wrinkling.
The SmoothSilk® Ergonomix2® implants feature TrueMonobloc+® and ProgressiveGel Ultima® technologies, which improve gel-shell integration and reduce the risk of implant visibility and rippling.
The initial post-operative breast volume may appear larger due to retained infiltration fluid from the tumescent solution.
This fluid is expected to be reabsorbed by the body within 1 to 10 days following the procedure.
Additional swelling may persist for several weeks before the final breast contour becomes fully evident.
Patients with weak or thinner ligaments, such as those who have experienced excessive weight loss, may require additional stabilization methods and a more conservative implant volume.
Sufficient tissue coverage is necessary because Preservé™ implants are placed in the subglandular plane.
For patients with minimal tissue coverage, combining Preservé™ with a hybrid surgical approach is an option.
The implant base width is determined by identifying the patient's circummammary ligament (CML).
Surgeons can manually mark the external and internal borders of the CML or use the Preservé™ Implant Selection set to select a template size.
The template's inner diameter should not exceed the CML's internal diameter to avoid violating the breast footprint and to maintain long-term stability.
Implant projection should be selected based on the patient's existing breast anatomy to ensure a natural outcome.
Surgeons must consider nesting and tenting effects, with Mini and/or Demi projections generally producing the most natural appearance.
Surgeons can use implants of two different volumes or projections, though large volume differences can stretch breast tissues disproportionately over time.
A recommended alternative for natural results is using same-sized implants combined with lipofilling to correct the asymmetry.
For IMF asymmetries smaller than 1cm, the incision is placed in the IMF.
For asymmetries larger than 1cm, the incision is placed in the corrected position, taking tissue and IMF elasticity into consideration.
Selective pocket positioning determines the trajectory of the Channel Separator and the placement of the Motiva® Inflatable Balloon.
If breast volume is evenly distributed, a centrally located tunnel is created to provide overall enhancement.
For uneven tissue distribution, the tunnel is directed to position the balloon precisely where projection is needed, such as the supero-medial quadrant for upper pole fullness.
According to the tool guidelines, each pump delivers approximately 40 cc of air.
For example, a 200cc implant will require 5 full pumps.
Acute elongation involves inflating the balloon to the recommended implant volume, then repeatedly deflating and reinflating it.
This technique is used for patients with thick, tight skin or dense breast parenchyma to soften and gradually stretch the tissue in a controlled manner.
The Preservé™ technique elongates breast tissues radially using the Motiva® Inflatable Balloon without damaging them.
The effective balloon diameter decreases after inflation, which allows a smaller balloon to create the framework for a larger implant base width.
Whether you are exploring surgery, seeking a second opinion, or simply have questions
about the process, our team is here to guide you.
Call now to speak directly with our team and book a consultation.
Complete our enquiry form and our team will be in touch to guide you through your options and answer any questions you may have.
Schedule a no-obligation phone consultation with our patient concierge team, pricing guidance and any questions you may have.
Use the link below to book non-surgical appointments with our cosmetic practitioners.
