
Expertly Written By
Dr. Rocco Piazza, MD, FACS
Board-Certified Plastic Surgeon & Austin's Leading Specialist in Motiva Preservé™ Mastopexy.
The Case at a Glance: Restoration
Restoration Note: This patient didn’t want to be "bigger"—she wanted to stop physically tucking her breasts into her bra. We achieved a full restoration while keeping her the same cup size.
For many women in their 60s, the goal isn't a radical change—it's reclamation. Our patient had been a C cup her entire life, but gravity and time had caused significant sagging. She reached a point of physical discomfort where she felt she had to "fit" her breasts into her clothes rather than her clothes fitting her.
In Austin, Dr. Piazza has pioneered a "tissue-first" philosophy using the Motiva Preservé™ Mastopexy. This technique allows for a significant lift and restoration of "upper pole fullness" using a conservative 150cc Motiva implant, all while avoiding the trauma of traditional aggressive surgical pocket-cutting.
View The Before and After here.
Diagram showing "Balloon Elongation" vs. "Tissue Cutting"
The "Freckle Proof" Side View
"Pay close attention to the side profile in the clinical images below. There is a freckle just below her left breast. Before surgery, her breast tissue hung well below that mark. After the lift, the breast sits significantly higher, completely clear of that freckle. Same cup size—completely different shape." — Dr. Piazza
Clinical Results: Age 60 Restoration
Watch the Case Recap
Motiva Mastopexy FAQ
Can I get a lift and implants at the same time?
Yes. Dr. Piazza specializes in "simultaneous augmentation-mastopexy," often using the Motiva Preservé method to ensure the lift is stable and the implant is positioned perfectly for natural fullness without muscle interference.
Will a lift change my cup size?
Not necessarily. As seen in this case study, we can stay within your same cup size (C cup) while significantly changing the youthfulness and "perch" of the breast.
What makes the Motiva Ergonomix® ideal for patients over 60?
These implants are designed to behave like natural tissue—shaping into a teardrop when standing and softening when lying down. For mature skin, this creates a more graceful, natural look compared to traditional round implants.
Restore Your Silhouette in Austin
Age shouldn't mean sacrificing comfort or confidence. Our team at The Piazza Center is ready to help you find your "restored" self.
Want to speak with someone first?
Call the Piazza Team at (512) 288-8200


