Patients searching for a Preservé™ by Motiva® surgeon are usually looking for more than a plastic surgeon who simply offers the procedure. Preservé is a highly specialized, tissue-preserving approach to breast augmentation using Motiva implants. It requires careful patient selection, a precise understanding of breast anatomy, familiarity with Motiva implant behavior, and specific training in the Preservé technique.
At Epstein Plastic Surgery in Hauppauge, Long Island, Dr. Mark D. Epstein brings together decades of breast augmentation experience, early Motiva implant experience, FDA clinical trial involvement, Preservé case volume, surgeon training, and instrumentation innovation. For patients comparing Preservé surgeons in New York, Long Island, New York City, or nationally, this combination is what sets Dr. Epstein apart.
A Preservé Surgeon With Deep Breast Augmentation Experience
Dr. Epstein is certified by both the American Board of Surgery and the American Board of Plastic Surgery and has been in practice for more than thirty years. His practice has long emphasized breast augmentation, breast implant surgery, breast revision surgery, and advanced approaches designed to make recovery easier while achieving natural, stable results.
Dr. Epstein's approach to breast augmentation was shaped in part through mentorship with John Tebbetts, MD, one of the most influential surgeons in modern breast augmentation and a pioneer in tissue-based planning and rapid-recovery breast augmentation. Dr. Epstein then built on that foundation by refining his own techniques, creating specialized instrumentation, and becoming known for One-Day Recovery Breast Augmentation.
For many patients, this background matters because Preservé is not just a new implant choice. It is a new way of thinking about breast augmentation: less tissue trauma, smaller incisions, more precise implant placement, and careful respect for the structures that support the breast.
Why Dr. Epstein's Motiva Experience Matters
Motiva implants received FDA premarket approval in the United States on September 26, 2024, for primary and revision breast augmentation in women at least 22 years old.
Dr. Epstein's experience with Motiva began years earlier.
In 2018, Dr. Epstein was selected as a Principal Investigator in the U.S. Motiva FDA Clinical Trial, giving him early hands-on experience with Motiva implants approximately six years before U.S. FDA approval. According to Motiva data provided to Dr. Epstein, he was the highest-enrolling investigator in the Motiva U.S. FDA clinical trial, with 73 patients enrolled.
That experience allowed Dr. Epstein to observe Motiva implant performance over time, including patient satisfaction, implant behavior, breast shape stability, and postoperative follow-up. His current Motiva work also includes serving as a Principal Investigator / participating investigator in the Motiva Post-Approval Study, which continues to collect long-term safety and effectiveness information after FDA approval.
Dr. Epstein's Motiva Experience at a Glance
- Motiva U.S. FDA Clinical Trial Principal Investigator
- Highest-enrolling investigator: 73 patients, according to Motiva data provided to Dr. Epstein
- Using Motiva breast implants since 2018
- Experience with Motiva approximately six years before U.S. FDA approval
- Principal Investigator / participating investigator in the Motiva Post-Approval Study
- Long-term experience with Motiva implants in primary and revision breast augmentation
One of the First U.S. Surgeons Trained in Preservé™
Preservé breast augmentation is not simply a marketing term. Motiva's own surgeon locator defines the Preservé badge as completion of specialized in-person training in breast tissue preservation.
Dr. Epstein was part of the early Preservé experience group and was one of the first 36 surgeons trained in the Preservé procedure. This early training gave him a head start in understanding the subtleties of the technique, including patient selection, implant sizing, ultrasound-guided planning, creation of the breast preservation space, smaller-incision implant placement, and recovery protocols.
As Preservé became available in the United States, Dr. Epstein's prior Motiva experience and Preservé training positioned him to move quickly from early adoption to advanced case experience.
National Preservé Trainer for Other Surgeons
Dr. Epstein is not only a Preservé surgeon; he is a trainer of other surgeons in the Preservé technique.
As of May 2026, Dr. Epstein has personally trained 45 surgeons in the Preservé technique. Surgeons travel to his Long Island facility to observe live cases, review patient selection, study instrumentation, and learn the step-by-step details of the Preservé approach.
For patients, this matters because surgeons who teach a procedure must understand it at a deeper level. Teaching requires consistency, judgment, technical precision, and the ability to explain why each step matters. When patients choose Dr. Epstein for Preservé breast augmentation, they are choosing a surgeon whose technique is studied by other plastic surgeons.
One of the Most Experienced Preservé Surgeons in the United States
According to Motiva data provided to Dr. Epstein, as of May 2026, Dr. Epstein had performed 136 Preservé cases, confirmed by Motiva as the highest Preservé case volume in the United States at that time.
This case volume is especially meaningful because Preservé is still relatively new in the U.S. Many surgeons are early in their learning curve. Dr. Epstein's experience includes not only straightforward first-time breast augmentation patients, but also more complex breast surgery situations in carefully selected candidates.
Preservé Case Experience - May 2026*
- 136 Preservé cases performed
- Confirmed by Motiva as the highest Preservé case volume in the United States
- 45 surgeons personally trained in Preservé technique
- Experience includes primary augmentation, augmentation with lift, selected revision cases, and implant removal/replacement cases
Instrumentation Designed for Preservé
Dr. Epstein has a long history of designing specialized surgical instrumentation for breast augmentation, including instruments used by surgeons beyond his own practice. His goal has always been to make breast surgery more precise, controlled, and atraumatic.
With Preservé, one of the technical challenges is placing the implant through a smaller incision and narrow tissue channel while protecting both the implant and the surrounding breast tissue. To address this, Dr. Epstein designed specialized instrumentation for the Preservé technique, including the Epstein Preservé Channel Dilator, which helps facilitate implant placement through the smaller Preservé incision.
This is an example of how high-volume experience can lead to practical refinements. When a surgeon performs a procedure repeatedly, teaches it to others, and studies the details closely, opportunities for improvement become clearer.
Preservé for Primary Augmentation, Lift, and Selected Revision Cases
Many patients first hear about Preservé as an option for first-time breast augmentation. Dr. Epstein performs Preservé in a broader range of carefully selected patients, including:
- Primary breast augmentation
- Primary breast augmentation with mastopexy
- Breast augmentation after a previous mastopexy
- Previous breast implant removal with replacement using the Preservé technique
- Revision cases with Preservé, with or without mastopexy
Not every patient is a candidate for Preservé. Some patients may be better served by a different implant plane, a different incision strategy, fat transfer, implant removal, or a traditional revision approach. During consultation, Dr. Epstein evaluates breast tissue thickness, skin quality, prior scars, implant history, chest wall anatomy, aesthetic goals, and whether Preservé is the safest and most appropriate option.
This careful selection is one reason surgeon experience matters.
Real Preservé by Motiva Results by Dr. Epstein
BEFORE
AFTER
What Patients Should Look for in a Preservé Surgeon
If you are researching Preservé surgeons, ask more than whether the surgeon "offers" Preservé. Ask:
- Is the surgeon certified by the American Board of Plastic Surgery?
- Has the surgeon completed in-person Preservé training?
- How many Preservé cases has the surgeon personally performed?
- Does the surgeon have experience with Motiva implants beyond the initial U.S. commercial launch?
- Was the surgeon involved in the Motiva U.S. FDA clinical trial or post-approval study?
- Does the surgeon teach the technique to other surgeons?
- Can the surgeon show Preservé before-and-after results in patients with anatomy similar to yours?
- Can the surgeon manage more complex situations, such as prior breast surgery, mastopexy, or revision?
- Does the surgeon disclose any financial or teaching relationship with Motiva or Establishment Labs?
Dr. Epstein encourages patients to ask these questions. A well-informed patient is better prepared to choose the surgeon and procedure that best match her goals.
Why Patients Travel to Long Island for Preservé by Motiva
Patients from Long Island, New York City, the greater New York region, and other states seek out Dr. Epstein for Preservé by Motiva because his practice combines:
- More than thirty years in surgical practice
- Certification by the American Board of Surgery and American Board of Plastic Surgery
- A breast augmentation-focused practice
- Mentorship from John Tebbetts, MD
- One-Day Recovery Breast Augmentation experience
- Early Motiva implant experience beginning in 2018
- Principal Investigator role in the Motiva U.S. FDA Clinical Trial
- Principal Investigator / participating investigator role in the Motiva Post-Approval Study
- Early Preservé training as one of the first 36 U.S. surgeons trained
- National Preservé surgeon training role
- 45 surgeons personally trained as of May 2026
- 136 Preservé cases performed as of May 2026, confirmed by Motiva as the highest U.S. case volume at that time
- Preservé instrumentation designed by Dr. Epstein
- Experience using Preservé in primary, lift, prior mastopexy, implant removal/replacement, and selected revision cases
The goal is not simply to place an implant. The goal is to create a natural, stable, beautiful breast augmentation result while preserving as much normal breast anatomy as possible.
FAQs
Is Dr. Epstein one of the top Preservé by Motiva surgeons in the United States?
There is no independent national ranking of Preservé surgeons based on long-term outcomes. However, Dr. Epstein is one of the most experienced publicly documented Preservé by Motiva surgeons in the United States, with early Motiva implant experience, Motiva FDA clinical trial involvement, Preservé surgeon training status, and high Preservé case volume.
How many Preservé cases has Dr. Epstein performed?
According to Motiva data provided to Dr. Epstein, as of May 2026, Dr. Epstein had performed 136 Preservé cases, confirmed by Motiva as the highest Preservé case volume in the United States at that time. Patients are encouraged to ask for the most current case-volume information during consultation.
Does Dr. Epstein train other surgeons in Preservé?
Yes. Dr. Epstein is a national Preservé trainer. As of May 2026, he had personally trained 45 surgeons in the Preservé technique.
Was Dr. Epstein involved in the Motiva FDA clinical trial?
Yes. Dr. Epstein served as a Principal Investigator in the U.S. Motiva FDA Clinical Trial. According to Motiva data provided to Dr. Epstein, he was the highest-enrolling investigator, with 73 patients enrolled.
Does Dr. Epstein perform Preservé with a breast lift?
Yes, in selected patients. Dr. Epstein performs Preservé for primary breast augmentation, primary breast augmentation with mastopexy, and selected patients with previous mastopexy or revision needs. Not every patient is a candidate, which is why consultation and examination are essential.
Can Preservé be used for breast implant revision?
In selected cases, yes. Dr. Epstein performs removal and replacement of implants using the Preservé technique in appropriate patients, with or without mastopexy. Some revision patients may need a different surgical plan depending on tissue quality, implant position, capsule issues, scarring, and aesthetic goals.
Where is Dr. Epstein located?
Dr. Epstein performs Preservé by Motiva breast augmentation at Epstein Plastic Surgery in Hauppauge, Long Island, New York. Patients visit from Long Island, New York City, the surrounding region, and other states.
Schedule a Preservé Consultation With Dr. Epstein
If you are considering Preservé by Motiva breast augmentation and want to know whether you are a candidate, the next step is a consultation with Dr. Epstein.
During your consultation, Dr. Epstein will review your goals, examine your anatomy, discuss implant options, evaluate whether Preservé is appropriate, and explain how the procedure may differ from traditional breast augmentation techniques.
* Case volume and national-volume ranking are based on Motiva data provided to Dr. Epstein as of May 2026. Current numbers may change over time.
Sections - Preserve Breast Augmentation
Chapters – Breast Augmentation Guide
- Intro to Breast Augmentation
- Preservation Breast Augmentation – A New Era!
- Motiva Implants – What You Need to Know
- Five key decisions you need to make
- One-Day Recovery Breast Augmentation
- Anesthesia – General, Sedation or Local?
- Breast Lift (Mastopexy) with/without Implants or Fat
- What else should I know about breast augmentation?
- Important Things to Consider When You Decide to Move Forward With Breast Augmentation
- Revision of breast augmentation
- ALCL and Breast Implant Illness
