Expertly Written By
Dr. Rocco Piazza, MD, FACS
Board-Certified Plastic Surgeon & Austin's Leading Specialist in Motiva Preservé™ Tissue Preservation.
The Case at a Glance: Above the Muscle
Patient Profile: Active Professional / "Natural" Goal
Implant Style: Motiva Ergonomix2®
Placement: Subglandular (Above the Muscle)
Innovation: Motiva Preservé™ Technique
Primary Benefit: Zero Muscle Disruption
Downtime: Rapid Return to Austin Lifestyle
Surgeon's Note: This technique is specifically for women who want an enhancement that feels like their own tissue and doesn't "jump" when they flex their chest muscles.
⚠️ Content Warning: This article contains medical surgical imagery and clinical results.
For decades, "under the muscle" was the gold standard because it was the only way to hide the edges of an implant. But for the active Austin woman—the yogi, the runner, the professional—cutting the pectoralis muscle always felt like a heavy price to pay.
Dr. Rocco Piazza is changing that narrative with the Motiva Preservé™ technique. This isn't just about moving the implant; it’s a "tissue-first" philosophy that preserves the internal scaffolding of the breast. Dr. Piazza trained in both Costa Rica and Belgium with key leaders who have been using Motiva implant technology.
The Preservé™ Method: Creating a pocket through gentle elongation rather than aggressive cutting.
The Result: Above the Muscle, Beyond Compare
Why the "Above the Muscle" Stigma is Over
Historically, placing implants above the muscle led to visible rippling and a "stuck-on" look. That has changed with two major advancements:
- Motiva Ergonomix2® Gels: These implants shift their center of gravity based on your position. They don't need a muscle to hide behind because they behave like natural breast tissue.
- Channel Separation: Instead of "cutting and burning" a pocket, Dr. Piazza uses specialized balloon expanders that follow the natural layers of your tissue.
"When you preserve the muscle, you preserve the strength. For our Austin patients, that means getting back to their lives faster, with a result that looks completely un-augmented." - Dr. Rocco Piazza, MD FACS.
Motiva Preservé™ FAQ
Will I have "Animation Deformity"?
No. Animation deformity (where the implant moves when you flex your chest) only happens with submuscular placement. Since the Preservé technique stays above the muscle, your implants remain stable during exercise.
How is recovery different?
By avoiding the pectoralis muscle, post-operative pain is significantly reduced. Most patients are off prescription pain medication within 24-48 hours and back to normal movement within a week.
Redefine Your Silhouette in Austin
Dr. Rocco Piazza is a leading specialist in Motiva's most advanced preservation techniques. Discover if "Above the Muscle" is right for you.
