Preservé™ Breast Enhancement in Delafield
Enhancement designed to age gracefully with you.
Preservé breast enhancement is a tissue-preserving approach to breast augmentation built around Motiva ergonomic implants. The approach emphasizes smaller, precisely planned incisions, careful handling of breast tissue, and the use of Motiva's nanotextured SmoothSilk silicone gel implants, which the FDA approved for breast augmentation in 2024. By prioritizing tissue preservation and individualized implant selection, the approach aims to add or restore breast volume and shape while supporting a controlled recovery. As with all implant-based augmentation, results, longevity, and risks vary by individual and are discussed during consultation.
At a Glance
- Preservé breast enhancement is an implant-based approach that pairs tissue-preserving surgical technique with Motiva ergonomic silicone gel implants[4]
- Motiva implants received FDA premarket approval for breast augmentation in 2024, the first new breast implant to gain U.S. premarket approval in over a decade[1]
- Motiva implants use a nanotextured SmoothSilk surface, which the manufacturer describes as a low-surface-roughness shell distinct from classically textured implants[5]
- Breast implants are not considered lifetime devices, and patients may need additional surgery to replace or remove them over time[2]
Overview
Preservé breast enhancement is a branded approach to augmentation mammoplasty that combines tissue-preserving surgical technique with Motiva ergonomic implants. Rather than a distinct device, it describes how the procedure is planned and performed: smaller and precisely placed incisions, gentle tissue handling, and individualized implant selection intended to add or restore breast volume while limiting disruption to surrounding tissue. The choice of incision, implant size, profile, and pocket placement is tailored to each patient's anatomy and goals.
The approach is built around the Motiva implant family from Establishment Labs. Motiva implants are silicone gel-filled devices that use a nanotextured SmoothSilk surface, which the manufacturer describes as having low surface roughness that behaves differently from classically smooth or textured shells. The Motiva Ergonomix line uses a softer, more fluid silicone gel that the manufacturer states is designed to shift with body position. The FDA granted premarket approval for Motiva implants in breast augmentation in 2024.
Like all breast augmentation, the Preservé approach increases size and can improve shape and symmetry, but it does not correct significant breast sagging. Patients with substantial drooping may need a breast lift (mastopexy) in addition to or instead of augmentation. Implant type, surface, and placement decisions involve trade-offs that are reviewed during consultation, and outcomes are individual.
Because the Preservé approach relies on a specific implant family and technique rather than on long-horizon comparative trials, the supporting evidence is best characterized as moderate. General breast augmentation has a long safety and outcomes record, while device-specific and approach-specific long-term data continue to accumulate.
What to expect
- Initial consultation to discuss goals, review medical history, and assess candidacy
- Pre-operative evaluation including breast measurements, photographs, and imaging as needed
- Selection of Motiva implant size, profile, and surface based on anatomy and goals
- Determination of incision location (commonly inframammary or periareolar)
- Administration of anesthesia (general anesthesia or intravenous sedation)
- Creation of a precise, tissue-preserving incision
- Development of the implant pocket (submuscular, dual-plane, or subglandular placement)
- Insertion and positioning of the Motiva silicone gel implant
- Layered closure of the incision with sutures, skin adhesive, or surgical tape
- Application of dressings and a support garment
- Post-operative monitoring and discharge with detailed recovery instructions
How a Preservé™ breast enhancement works
- The surgeon plans a precise, often smaller incision in one of several locations, most commonly along the inframammary fold (under the breast) or periareolar (around the edge of the areola). Incision choice depends on implant size, patient anatomy, and the goal of preserving surrounding tissue.
- A pocket is created for the implant either behind the breast tissue (subglandular) or behind the pectoral muscle (submuscular or dual-plane), with attention to gentle tissue handling intended to limit disruption. Placement is individualized based on body type, soft-tissue coverage, and the selected implant.
- A Motiva silicone gel implant is selected for size, profile, and surface, then inserted and positioned for symmetry and contour. The nanotextured SmoothSilk surface and the ergonomic gel of the Motiva Ergonomix line are intended to support a natural feel and movement; individual results vary.
- Incisions are closed in layers with sutures in the deeper tissue and sutures, skin adhesive, or surgical tape at the skin surface. A support garment is applied, and recovery is guided to allow the implants to settle into position.
When it's recommended
- Desire for increased breast size and fullness
- Breast volume loss following pregnancy, breastfeeding, or weight changes
- Breast asymmetry where one breast differs noticeably in size or shape
- Congenital breast underdevelopment (breast hypoplasia)
- Preference for silicone gel ergonomic implants and a tissue-preserving technique
- Revision of prior augmentation in appropriate candidates after evaluation
Is a Preservé™ breast enhancement right for you?
Reach out to learn more from Dr. Lucas Boehm.
Recovery & aftercare
- Initial recovery typically involves several days of reduced activity and rest
- A support garment is generally worn for several weeks as directed by the surgeon
- Swelling, bruising, and tenderness are common in the first 1-2 weeks
- Most patients can return to non-strenuous work within 1-2 weeks
- Strenuous exercise and heavy lifting are typically restricted for 4-6 weeks
- Final results may take 3-6 months as implants settle and swelling fully resolves
- Regular follow-up appointments and imaging as recommended by the FDA help monitor implant integrity
Alternatives
- Conventional breast augmentation with saline or other silicone gel implants
- Fat transfer breast augmentation (autologous fat grafting for modest size increase)
- Breast lift (mastopexy) for improved shape without size increase
- Combined augmentation with a breast lift for patients with both volume loss and sagging
- External breast prostheses (non-surgical option)
Related treatments
How much does a Preservé™ breast enhancement cost?
A Preservé™ breast enhancement at Consona with Dr. Boehm costs around $12,500. The exact amount depends on your unique goals and treatment needs. Schedule a consultation today to learn more and receive a personalized quote.
Frequently Asked Questions
- Preservé breast enhancement is a tissue-preserving approach to breast augmentation that uses Motiva ergonomic silicone gel implants. It emphasizes precise, often smaller incisions and careful tissue handling to add or restore breast volume and shape, with implant choice individualized to each patient.
- Motiva implants are silicone gel-filled breast implants from Establishment Labs that use a nanotextured SmoothSilk surface. The Motiva Ergonomix line uses a softer gel the manufacturer describes as designed to move with body position. Motiva implants received FDA premarket approval for breast augmentation in 2024.
- Yes. The FDA granted premarket approval for Motiva implants in breast augmentation in 2024. As with all breast implants, they are not considered lifetime devices, and the FDA recommends ongoing monitoring and imaging over time.
- The Preservé approach is a way of performing breast augmentation that pairs tissue-preserving technique with the Motiva implant family. It is not a different operation in principle. Whether it is the right choice depends on individual anatomy and goals, and the trade-offs are discussed during consultation.
- Augmentation increases size and can improve shape and symmetry, but it does not correct significant breast sagging. Patients with substantial drooping may need a breast lift in addition to or instead of augmentation to achieve their desired result.
- Breast implants, including Motiva implants, are not considered lifetime devices. Some patients require additional surgery to replace or remove implants over time. Regular follow-up and imaging as recommended by the FDA help monitor implant integrity.
- Preservé Breast Enhancement may not be appropriate for individuals with active infection or untreated breast disease or existing breast cancer or pre-cancer that has not been adequately treated. Possible side effects include capsular contracture (formation of tight scar tissue around the implant that may distort breast shape), implant rupture or leakage requiring additional surgery, changes in nipple or breast sensation (may be temporary or permanent). Dr. Boehm will review your health history to ensure Preservé Breast Enhancement is safe for you.
- Preservé Breast Enhancement is commonly recommended for individuals experiencing desire for increased breast size and fullness, breast volume loss following pregnancy, breastfeeding, or weight changes, breast asymmetry where one breast differs noticeably in size or shape, congenital breast underdevelopment (breast hypoplasia). Schedule a consultation with Dr. Boehm in Delafield to find out if Preservé Breast Enhancement is right for you.
Preservé Breast Enhancement risks & candidacy
Who should avoid this
- Active infection or untreated breast disease
- Existing breast cancer or pre-cancer that has not been adequately treated
- Pregnancy or current breastfeeding
- Patients who have not reached physical maturity (under 22 for silicone gel implants per FDA guidelines)
- Autoimmune or connective tissue conditions that warrant careful evaluation before implant placement
- Unrealistic expectations regarding surgical outcomes
- Significant breast sagging where augmentation alone will not achieve the desired result without a lift
Possible risks
- Capsular contracture (formation of tight scar tissue around the implant that may distort breast shape)
- Implant rupture or leakage requiring additional surgery
- Changes in nipple or breast sensation (may be temporary or permanent)
- Infection requiring treatment or implant removal
- Hematoma (collection of blood) or seroma (collection of fluid)
- Implant malposition, rotation, or asymmetry
- Wrinkling or rippling visible or palpable through the skin
- Poor scarring or hypertrophic scar formation
- Need for reoperation, implant removal, or replacement over time
- Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), a rare cancer of the immune system associated with breast implants
- Breast implant illness (BII), reported systemic symptoms including fatigue, joint pain, and cognitive difficulties
Your surgeon
Care that respects what makes you, you.
Dr. Lucas Boehm is a Wisconsin native, board-certified, fellowship-trained plastic surgeon and the founder of Consona Plastic Surgery and Aesthetics. His practice is dedicated exclusively to aesthetic surgery of the face, nose, breast, and body, with particular expertise in deep plane facelifts, rhinoplasty, and aesthetic breast surgery. He completed his undergraduate education at the University of Wisconsin–Madison, earned his medical degree from the Medical College of Wisconsin, and completed his plastic surgery residency there as well. He then pursued an Aesthetic Society-endorsed fellowship in aesthetic surgery under the mentorship of Dr. Bradley Calobrace in Louisville, Kentucky. Known for meticulous attention to detail, he approaches each case with precision and intention. His philosophy emphasizes harmony and balance – enhancing what is already beautiful while ensuring every change feels natural, thoughtful, and uniquely you.
- Board-certified
- Am. Board of Plastic Surgery
- Fellowship-trained
- Aesthetic surgery
- 12+ years
- In practice
Sources & references
This article draws on 8 sources, including government health agencies, peer-reviewed research.
Government & research
Medically reviewed by Dr. Lucas Boehm, MD · Last reviewed: 2026-06-13