
Motiva Preserve breast augmentation with Dr. Claire Duggal
A less invasive approach to breast augmentation: Motiva implants placed above the muscle through a smaller incision, with the breast’s own tissue and support structures left as intact as possible.
At a glance
Surgeon
Dr. Claire Duggal
Implant
Motiva SmoothSilk
Placement
Above the muscle
Incision
2.5–3 cm
Anesthesia
General
Setting
West Annapolis Surgery Center
Desk work
About 5–7 days
Full exercise
Around 6 weeks
Preservé is Motiva’s approach to creating the implant pocket. Rather than dividing tissue to make room, it uses a set of purpose-made instruments — a channel separator and an inflatable balloon — to separate and stretch the existing tissue so it settles around the implant.
The implant sits above the chest muscle, so the muscle is not cut or lifted. The incision is smaller than a conventional augmentation — roughly 2.5 to 3 cm rather than about 4 cm — because the instruments are introduced through a narrower opening.
Surgeons must complete Motiva’s dedicated training to offer it. The implants used are Motiva’s Ergonomix™ SmoothSilk® devices, designed to provide a soft, natural look and feel and move with your body.
The approach is designed for women who want an elegant, soft, natural, and beautifully proportioned result — sometimes described as the “ballerina” or “yoga breast” aesthetic — enhancing your breasts while still looking and feeling completely like yourself. Its less-invasive approach may allow for less downtime and a more streamlined recovery in appropriately selected patients, which makes it appealing for busy moms, athletes, and professionals who can’t put life on hold.
What it sets out to preserve
The pocket is stretched open rather than cut, so less of the gland and surrounding tissue is divided.
Because the implant sits above it, the pectoral muscle is left intact and keeps its normal function.
Limiting dissection is intended to spare the nerves that carry sensation to the nipple.
Keeping the breast’s own support structures intact is intended to hold the implant in position over time.
Motiva reports a 0% rate of inferior malposition at three years in its clinical study of the technique. Published long-term data remains limited, and results vary between patients.
Candidacy
Preservé is best suited to a first augmentation with a moderate implant size. Dr. Duggal will tell you plainly if a conventional approach would give you a better result.
Considering a first breast augmentation
Wanting to keep the breast tissue, ligaments, and chest muscle intact
Enough natural tissue to cover an implant placed above the muscle
In good general health, at a stable weight
A non-smoker, or willing to stop before surgery and through recovery
An honest comparison
Preservé is a newer, heavily marketed technique. We would rather you understand the tradeoffs than be sold on the name.
In its favour
A smaller scar — about 1 cm shorter than standard
Less tissue trauma, which generally means less swelling and an easier first week
The chest muscle is untouched, so no animation deformity
Instruments are single-use and purpose-designed for the pocket
Worth knowing
Placing an implant above the muscle is not unique to Preservé — that comes from the plane, not the brand
The pocket is created through a smaller opening, which gives the surgeon less direct view
Implant choice is limited to the devices the technique is designed around
Practices generally charge a premium over a conventional augmentation
Planning your result
Vectra 3D imaging lets you look at different implant choices on your own frame during the consultation, so the conversation is about your result rather than a number.
About Vectra 3D imagingResults
Before and after — actual Preservé patients of Dr. Duggal, photographed in our office.
We review Preservé results with you in person at consultation.
Also consider
Meet Dr. Duggal, review your options on Vectra 3D, and leave with a plan and a written quote.
Book a consultation