
Understanding the Preservè Technique: A Patient’s Guide to Minimally Invasive Breast Augmentation
Jul 31
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Published by Dr Ali Arnaout | Consultant Plastic Surgeon | London; Harley Street, Fitzrovia, Farringdon
🖱️ Visit our Preservè page | 📍 Book a consultation
What Is Preservè?
Preservè breast augmentation is a next-generation, minimally invasive technique that combines surgical precision with a gentle, tissue-preserving approach.
Developed in collaboration with expert plastic surgeons and Motiva®, the Preservè method delivers natural results, minimal recovery, and reduced scarring—all with patient safety and comfort at its core.
Unlike traditional breast augmentation, which may involve more extensive dissection, Preservè protects key breast structures, including nerves and blood supply, to reduce pain and improve long-term outcomes.
How the Preservè Technique Works: Step-by-Step
As one of the few UK surgeons trained and certified to perform both MIA FemTech and Preservè, I follow a structured, evidence-based approach:

1.Preoperative Planning
Breast volume assessment using the Crisalix 3D
Implant sizing and 3D simulation
Selection of Motiva Ergonomix® 2 implants
2.Anaesthesia and Preparation
Day-case under sedation or light general anaesthesia
Anatomical markings for accurate pocket creation
3.Minimal-Incision Entry
1.5–3.0 cm inframammary incision
Use of the Motiva Retractor to protect tissue layers
4.Atraumatic Pocket Dissection
sub-glandular technique
No electrocautery, preserving tissue integrity
5.No-Touch Implant Delivery
Use of a Motiva Sleeve™ or Keller Funnel®
Minimises contamination and implant trauma
6.Precision Closure
Triple-layer closure with fine sutures
Scar concealed in the natural inframammary
Why Patients Choose Preservè
✅ Faster healing – minimal trauma means shorter recovery
✅ Less post-op pain – thanks to tissue-sparing techniques
✅ Smaller scars – discreet and well-hidden
✅ Better mobility – return to normal life within days
✅ Natural look and feel – subglandular placement and responsive implants
Ideal Candidates for Preservè
You may be suitable for the Preservè technique if you:
Are looking for a subtle, elegant enhancement
Prefer a shorter recovery period
Have not had previous breast surgery
Want natural softness and movement
What Makes Preservè Different?
Anatomy-first technique – respects natural breast tissue
Gentle, bloodless dissection – no unnecessary trauma
Scientific precision – based on structured implant sizing methods
Better outcomes – reduced capsular contracture (Ergo2 implant), less pain, and high patient satisfaction
Frequently Asked Questions (FAQ)
💬 Is Preservè the same as traditional breast augmentation?
No — Preservè is a modern, minimally invasive alternative that prioritises faster recovery (halves the recovery time), smaller scars (2-3cm), and tissue preservation. It uses no-touch techniques and precise anatomical planning, setting it apart from traditional augmentation methods.
💬 What’s the difference between MIA FemTech and Preservè?
While both use Motiva implants, MIA is often performed under local anaesthesia and focuses on scarless entry via a 2cm incision via the armpit. Preservè is similar but using a n incision under the breast and allows a arange of implants, typically suits patients seeking more projection or volume than the MIA implants.
Read our full guide comparing MIA vs Preservè here.
💬 Is there downtime after surgery?
Most patients resume light activities in 2–3 days, with full healing expected in 6 weeks. Return to the gym is often allowed after 3–4 weeks, depending on implant size and activity level.
Book a Consultation With Dr Ali Arnaout
As one of the UK’s few plastic surgeons fully trained in both MIA and Preservè, I am committed to giving patients the most up-to-date, minimally invasive options available today.
📍 Book your consultation at our London clinics
💬 You can also explore before and after results.
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