Preservé represents the most significant advancement in breast augmentation I have seen in over thirty years.
Preservé is a total reset from how I performed breast augmentation surgery in the past.
Preservé is based upon breast tissue preservation.
Other than a very small skin incision, there is no cutting, no cauterizing! Less trauma to the breast!
The natural supportive ligaments in the breast are now preserved and used to support the implant.
No other method of placement of breast implants can offer this support without using artificial materials.
My patients love Preservé because if offers:
Smaller incisions
No need for general anesthesia – it is performed with light sedation aka twilight anesthesia.
Minimal discomfort if any – Tylenol and Advil are enough – no narcotics!
Superfast recovery – less than one day in many cases
Natural results
Better upper breast fullness and cleavage
I love Preservé because:
No blood loss.
Natural anatomy is preserved.
Complication rates are lower than any other method of placing breast implants.
I can achieve similar results with a smaller implant – better long term results
Surgery takes about 30 minutes in total.
Wake up right afterwards, fastest recovery I have ever seen!
In fact, recovery is faster than my “One Day Recovery Breast Augmentation” procedure!
Preservé uses Motiva implants for the most natural looking and feeling breast.
And, if you need a lift, Preservé is a great way to keep and maintain upper breast fullness.
Recovery after Preservé is easy – here is what I tell my patients:
That same day:
go out and about your usual activities – lift up to 25 pounds.
Sex is OK – no Olympic sex!
Go shopping, out to lunch or dinner.
Treadmill (fast walking), Cycle (no resistance) – no strenuous exercise
No driving
Day after surgery – OK to drive
Two weeks:
Swimming in a pool
Full aerobic activity
Three weeks:
Light weight lifting
Four weeks:
Heavier weight lifting
How does Preservé differ from a traditional breast augmentation?
In a traditional breast augmentation, full general anesthesia is usually required.
An incision is made, usually, but not always under the breast.
The breast is lifted off the chest wall, whether above or below the muscle, by using an electrocautery which heats and cuts the tissue so that there is no bleeding. This creates a lot of inflammation.
A large space, called a pocket is created. The implant sits in this pocket. There is nothing to keep the implant stabilized in place.
The implant rests against the lower part of the breast. Time and gravity can result in stretching of the lower breast with resultant loss of upper breast fullness.
Sometimes the implant can migrate downward or towards the armpit, resulting in unnatural contours, particularly when lying down. Occasionally, this needs surgical correction.
Larger, heavier implants are required to fill this space. When the pocket stretches and the breast bottoms out, a larger implant may be required to correct this, creating a vicious cycle.
The inflammation from the surgery can lead to other potential complications needing reoperation such as capsule contracture.
Now let’s look at how a Preservé breast augmentation is performed.
NO need for general anesthesia – surgery is performed under light sedation. If you want to be aware and able to converse you can, if you want to be completely unaware of the procedure, that is possible as well.
Local anesthesia is placed into the breast. This makes the breast numb so that you feel nothing during the procedure. Ten minutes is allowed for the medication to take full effect.
A smaller incision is made in the lower breast crease. That is where the cutting ends!
A 2 cm “Channel dissector” is passed through the breast to create a narrow tunnel above the muscle.
Next, a balloon is inserted into the channel and inflated to make a pocket for the implant.
The implant is inserted using a plastic funnel, just as in a traditional breast augmentation.
There is no electrocautery needed because there is no bleeding nor blood loss.
The wound is closed with a few stitches.
You wake up.
The entire time from beginning to end of the procedure is about 30 minutes.
At the end of the procedure, you should have no discomfort at all.
You go home about 30 minutes later.
Preservé is one of the most exciting advancements I have seen in three decades of breast surgery.
The next video will explain more about breast lifts when combined with breast augmentation surgery.
