Preservé is grounded in a growing body of peer-reviewed research, not just Dr. Epstein's own clinical experience. Below is the published science behind the technique, organized by topic, with plain-language summaries of what each study actually found.
Disclosure
Dr. Epstein is a paid investigator in the Motiva U.S. FDA clinical trial and is compensated by Establishment Labs to train surgeons on the Preservé breast augmentation technique. He discloses this relationship in all public communications involving Motiva or Preservé. Dr. Epstein owns stock in Establishment Labs.
Core Preservé Clinical Evidence
- Six Years of Real-World Data on Motiva Implants
- 3-Year Safety and Sensation Results for Tissue-Preserving Augmentation (Mia Femtech)
- A 3-Year Look at Tissue-Preserving Breast Augmentation Through the Fold (TPBA)
- What Tissue Preservation Actually Means in Breast Surgery
- Research: Planning Around Your Own Breast Geometry, Not a One-Size Formula
- The Implant Surface Technology Behind Preservé®
The Anatomy Behind the Technique
- The Anatomical Basis for Tissue-Preserving Breast Augmentation (Lhuaire)
- Understanding the Breast's Own Internal Support System (Rehnke)
- Mapping the Breast's Internal Anatomy with MRI (Durães)
- Measuring the Strength of the Breast's Own Support Tissue (Bhattarai)
- Mapping the Breast's Natural Boundaries (Dassoulas)
Implant Placement: Above vs. Under the Muscle
Laboratory Science Research on Motiva Implant Technology
- Breast Implant Surface Texture Is Associated with Distinct Implant Microbiome Profiles in Humans
- The Functional Influence of Breast Implant Outer Shell Morphology on Bacterial Attachment and Growth
- The Surface Topography of Silicone Breast Implants Mediates the Foreign Body Response in Mice, Rabbits and Humans
Dr. Epstein's Own Experience
- One Year of Preservé: What We’ve Seen in Our Own Patients
210 Preservé procedures (420 breasts) performed in our practice's first year, with zero cases of capsular contracture, infection, implant rupture, or loss of nipple sensation, and a 0.4% rate of complication-related reoperation.
Sections - Preserve Breast Augmentation
- Preservé® Breast Augmentation – A New Era!
- Why Choose Our Practice for Preservé
- Preservé Research & Clinical Evidence
- How to Choose a Preservé Breast Augmentation Surgeon
- Same-Day Recovery Breast Augmentation
- Preservé Breast Augmentation Recovery FAQ
- Wide Awake Preservé
- Preservé Breast Augmentation with a Breast Lift
- Preservé Breast Implant Revision and Replacement
- Dr Epstein training other Preservé surgeons
- New innovation: Epstein Preservé Channel Dilator
- Preservé Breast Augmentation Cost (2026): What Determines the Price
- Is Preservé Breast Augmentation Worth It? Pros, Cons and Limits
- Is Preservé Breast Augmentation FDA Approved?
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