Preserve™ by Motiva is an advanced, tissue-preserving approach to breast enhancement that maintains natural structure and sensation. Expect softness, stability, and long-term breast integrity with a typically faster recovery.
A Refined Evolution in Breast Enhancement
As one of a select group of surgeons granted early access to offer Preserve™ Breast Augmentation, the Silicon Valley Institute for Aesthetics integrates the latest advancements into our already established, board-certified breast surgery practice. Following advanced, hands-on training, our surgeons refined their approach to breast enhancement with a focus on preserving anatomy, sensation, and long-term breast health—without compromising beautiful, natural results.
What Is Preserve™ Breast Augmentation?
Instead of cutting through key structural supports, this technique focuses on maintaining your natural anatomy while creating space for the implant in a more controlled way.
How It Differs from Traditional Augmentation
Traditional breast augmentation often involves more extensive tissue dissection to form an implant pocket. Preserve™ is designed to reduce that disruption by:
- Preserving native breast tissue and ligament support
- Utilizing controlled tissue elongation rather than aggressive cutting
- Minimizing trauma to surrounding muscle and internal structures
- Reducing inflammatory response through lower-impact pocket creation
Specialized instrumentation allows gentle separation and radial elongation of tissue, helping maintain muscular and ligamentous integrity.
Advanced Implant Technology
Preserve™ incorporates SmoothSilk® Ergonomix2® implants, engineered with advanced surface and gel technology.
Research published in Nature Biomedical Engineering demonstrates how implant surface topography can influence the body’s foreign-body response (Doloff et al., 2021).
Clinical evaluation of Ergonomix2® implants has shown favorable safety outcomes and naturalistic aesthetic results in breast augmentation (Szychta, 2024).
Preserve™ Benefits
- Naturally contoured upper fullness without an overly round or artificial look
- Smooth, adaptive shaping that responds organically to posture and movement
- Strategic pocket design that supports consistent implant positioning over time
- A lower-impact surgical experience aligned with today’s health-conscious patient
- Proportional enhancement that complements your frame rather than overpowering it
- Aesthetic harmony that respects your existing breast characteristics
Are You a Good Candidate for Preserve™?
You may be an excellent candidate if you:
- Are seeking primary (first-time) breast augmentation
- Have good skin quality and adequate soft-tissue coverage
- Have mild ptosis or pseudoptosis and prefer to avoid a lift
- Have no prior breast surgery
- Have mild asymmetry or hypomastia
- Desire a natural look with long-term stability
Preserve™ may not be appropriate if you:
- Have significant skin laxity or very thin tissue
- Have experienced major weight loss affecting breast support
- Have connective tissue disorders affecting ligament strength
- Have moderate to severe breast ptosis (Grade III or higher)
- Desire a dramatic size increase over structural preservation
Why Choose Silicon Valley Institute for Aesthetics?
Breast surgery is a cornerstone of our practice. Our founders, Dr. Jerome Liu and Dr. Tom Liu, are board-certified by the American Board of Plastic Surgery and fellowship-trained in aesthetic plastic surgery. Their advanced training includes nationally recognized programs focused on breast and body refinement, surgical judgment, and nuanced aesthetic analysis.
SVIA® operates fully equipped surgical suites with experienced anesthesia teams and a highly trained perioperative nursing staff dedicated exclusively to aesthetic surgery. Our integrated network across Los Gatos, Sacramento, and San Mateo ensures exceptional continuity of care.
We do not follow trends. We implement innovations only after extensive training and careful integration into our surgical philosophy of safety, structural respect, and natural results.
What to Expect Before, During, and After
Consultation
Your consultation includes a comprehensive aesthetic evaluation, tissue assessment, and detailed discussion of goals, implant selection, and long-term planning.
Because Preserve™ is a premium, technology-integrated approach, pricing is approximately $18,000 inclusive of:
- Surgeon’s fee
- Operating room costs
- Anesthesia
- Surgical disposables and devices
Exact pricing is confirmed after evaluation.
Procedure
- Small Incision Placement: The procedure is performed under general anesthesia in our accredited surgical facility. A carefully measured incision is created, typically in the inframammary fold.
- Tissue Preservation and Controlled Pocket Creation: Specialized instrumentation allows gentle tissue separation and elongation rather than extensive cutting.
- Implant Placement: The SmoothSilk® Ergonomix2® implant is inserted using a no-touch technique.
- Closure and Recovery: The incision is meticulously closed to support optimal healing and refined scar formation.
Recovery and Results
- First 48–72 hours: Mild to moderate swelling and tightness
- 1 week: Most patients resume light daily activities
- 2–3 weeks: Gradual return to exercise
- 6–12 weeks: Implants settle and soften
- 3–6 months: Final shape and movement become more natural. Because tissue disruption is minimized, many patients report a smoother recovery compared to traditional augmentation.
Alternative or Related Procedures
- Traditional breast augmentation
- Breast augmentation with mastopexy (lift)
- Breast lift alone
Fat transfer breast enhancement
FAQs
How is Preserve™ different from “gummy bear” or traditional silicone implants?
Will Preserve™ affect future breastfeeding?
Will implants interfere with mammograms or breast cancer screening?
How long do Preserve™ implants last?
What are the risks and potential side effects of Preserve™?
Can Preserve™ correct asymmetry?
Will I need drains after surgery?
What happens if I decide to remove my implants in the future?
How is Preserve™ different from “gummy bear” or traditional silicone implants?
Preserve™ refers to the surgical technique rather than just the implant type. While many augmentations use cohesive silicone (“gummy bear”) implants, Preserve™ integrates a specific surgical approach with SmoothSilk® Ergonomix2® technology. This combination is designed to optimize implant behavior, tissue interaction, and pocket precision rather than relying solely on implant composition.
Will Preserve™ affect future breastfeeding?
Most women with breast implants can breastfeed, particularly when incisions are placed in the inframammary fold and glandular tissue is preserved. According to the CDC, many women with breast implants successfully breastfeed, although milk production varies individually. Breastfeeding ability depends on anatomy, surgical technique, and physiology, and is discussed in detail during consultation.
Will implants interfere with mammograms or breast cancer screening?
Breast implants do not prevent mammograms, but specialized implant-displacement imaging views are required. The FDA recommends informing your imaging center that you have implants so proper techniques can be used. Routine breast cancer screening guidelines remain the same unless otherwise directed by your physician.
How long do Preserve™ implants last?
Breast implants are not considered lifetime devices. While many last well over a decade, replacement is not automatically required at a specific time interval. Long-term monitoring is recommended.
What are the risks and potential side effects of Preserve™?
All breast augmentation procedures carry risks, even with refined techniques. Potential risks include:
- Capsular contracture (scar tissue tightening around the implant)
- Implant rupture or deflation
- Infection
- Bleeding or hematoma
- Changes in breast or nipple sensation
- Implant malposition
- Need for revision surgery
- Rarely, Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL), primarily associated with textured implants
Can Preserve™ correct asymmetry?
Mild to moderate breast asymmetry can often be improved with careful implant selection and pocket adjustment. In some cases, different implant volumes may be used to enhance symmetry. More significant asymmetry may require additional surgical planning.
Will I need drains after surgery?
In most straightforward primary augmentations, drains are not required. Surgical decisions are individualized based on intraoperative findings and patient safety.
What happens if I decide to remove my implants in the future?
Implant removal (explantation) is possible. Depending on tissue condition at that time, options may include implant removal alone, implant removal with capsulectomy, or implant removal combined with a breast lift. Long-term planning is part of the consultation process to ensure confidence in both immediate and future decisions.