Breast augmentation has come a long way from the days of large incisions, lengthy recovery, and one-size-fits-all results. Today, Motiva Preservé (Breast Tissue Preservation) is redefining what’s possible with a more modern, tissue-respecting approach that delivers natural-looking results and a smoother recovery.
At The Piazza Center in Austin, TX, we’re proud to be among the first practices in the U.S. trained to perform this advanced technique. If you’re considering breast augmentation and wondering whether Motiva Preservé might be right for you, this guide will help you understand who makes an ideal candidate.
What Makes Motiva Preservé Different
Traditional breast augmentation typically involves using cautery and larger incisions to create space for the implant. While this approach can deliver beautiful outcomes, it can also mean more inflammation, a longer recovery, and a higher chance of certain side effects such as animation deformity or loss of sensation.
Motiva Preservé takes a different approach:
- Smaller, hidden incisions placed in the breast fold
- No cautery, which reduces tissue trauma and inflammation
- Balloon expansion to gently separate tissue and create the implant pocket
- Preservation of nerves, ligaments, and breast architecture for more natural results
This technique supports faster healing, preserved sensation, and elegant shaping—often using smaller implants for a more proportionate enhancement.
Ideal Candidates for Motiva Preservé
While every patient is unique, there are several characteristics that often make someone a strong candidate for this technique.
1. First-Time Breast Augmentation Patients
Motiva Preservé is particularly well-suited for patients undergoing their first breast augmentation. Because the technique works with the body’s natural structure, results are most predictable when tissues haven’t been previously operated on or altered.
2. Those Seeking a Natural, Proportionate Look
This approach is perfect for patients who want subtle, elegant enhancement, not overly large or exaggerated results. Many Motiva Preservé patients choose smaller implants, but thanks to precise placement and the advanced Motiva gel, they still achieve a beautifully full, youthful shape.
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3. Patients Who Value Preserving Sensation and Tissue Integrity
Preserving the breast’s nerve pathways is a major advantage of this technique. By avoiding cautery and preserving natural structures, Motiva Preservé helps reduce the risk of nipple sensation loss -- a concern for many patients considering surgery.
In addition, the incision used in Motiva Preservé is smaller and strategically hidden in the breast fold, typically around 2.5 cm. This precise, minimal entry point helps protect surrounding tissues and contributes to faster healing with a scar that’s barely visible once healed.
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4. Active Lifestyles and Fitness Enthusiasts
Because the implant is placed above the muscle, patients don’t experience animation deformity (the shifting or distortion of the implant when flexing chest muscles). This makes the technique especially appealing to those who work out regularly or have physically active lifestyles.
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5. Patients with Realistic Goals and Expectations
Motiva Preservé works best for those looking for natural enhancement, not dramatic size increases. While it can deliver exceptional results, it’s not designed for patients seeking very large implants or major reshaping. During your consultation, Dr. Piazza will help determine whether your goals align with what this technique offers.
6. Those Seeking a Faster, More Comfortable Recovery
One of the biggest benefits of Motiva Preservé is how comfortable recovery tends to be. Many patients report managing post-surgical discomfort with over-the-counter medication only (no prescription narcotics) and returning to normal daily activities within 24 to 48 hours. If a smooth recovery is a priority for you, this may be a strong option.
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Who Might Not Be an Ideal Candidate for Motiva Preservé
Motiva Preservé may not be the best fit for everyone. Patients who require complex revision surgery, have minimal soft tissue coverage, or are seeking very large implant volumes may benefit more from alternative or hybrid approaches. Dr. Piazza will always be transparent about which option will best support both your aesthetic goals and your long-term results.
Why Choose The Piazza Center for Motiva Preservé
Over the summer, Dr. Rocco Piazza was one of just 36 board-certified plastic surgeons in the U.S. invited to train at Motiva’s headquarters in Costa Rica under the guidance of Dr. Manuel Chacón, the scientific director of the Breast Tissue Preservation Program.
That early access to advanced training has allowed our team to bring this innovative technique to Austin -- giving patients access to the next generation of breast augmentation right here at home.
Final Thoughts: Is Motiva Preservé Right for You?
Motiva Preservé represents a shift toward smarter, gentler breast augmentation—one that prioritizes preservation over disruption. If you’re looking for natural results, a more comfortable recovery, and confidence that your procedure protects your anatomy and sensation, this may be the perfect fit.
The best way to find out? Schedule a consultation with Dr. Piazza at The Piazza Center in Austin, TX. Together, we’ll create a personalized surgical plan that aligns with your goals, anatomy, and lifestyle.
