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Breast surgery that respects your natural anatomy

Preserved Breast Augmentation

Preserved Breast Augmentation is an innovative plastic surgery method developed by Motiva that prioritizes a less invasive approach and respect for the breast’s natural anatomy. By using a tissue expander, the necessary space for the implant is created without cutting through muscles or other structures, which helps reduce postoperative pain and swelling and promotes a faster recovery.

This technique is particularly suitable for those who want a natural-looking result, with minimal surgical impact and discreet scarring.

Unlike more aggressive traditional techniques, breast-conserving surgery is based on a simple yet fundamental principle: adapting the tissue to the implant, rather than forcing the implant onto the tissue.


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What is a breast augmentation with the Preservé technique?

Preservative breast augmentation is a breast-preserving surgical technique designed to keep the breast’s natural structures intact as much as possible. This includes both the anatomy and function of the breast, avoiding unnecessary distortions.

When we use this technique, which utilizes Motiva implants, we’re not just looking for an immediate aesthetic result. The focus is on how the breasts will change over time—something that’s key for me when planning any Preservé breast augmentation.

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Principles of breast-conserving surgery

Preservation of breast anatomy and function

One of the cornerstones of breast augmentation is preserving the natural architecture of the breast. The gland, ligaments, and anatomical structures are respected as much as possible, allowing the breast to retain its natural function.

In my experience, this preservation of the breast’s natural anatomy results in breasts that not only look natural but also feel natural to the patient from the very early stages of recovery.

Adaptation of native tissues to the implant

Unlike traditional techniques, the Preservé technique involves stretching and adapting the native tissues, thereby minimizing surgical damage. This allows the implant to integrate gradually and harmoniously.

This less invasive approach reduces stress on the tissues and facilitates a smoother recovery, while also improving stability in the medium and long term.

Breast Augmentation Procedure Using the Preserved Technique

The breast augmentation procedure is performed in an operating room under local anesthesia and mild sedation.

The breast anatomy, tissue quality, and the patient's expectations are assessed. The goal is to plan the augmentation in a way that preserves the natural structure of the breast and its attachment to the chest.

The most appropriate size and type of Preserved implants are determined, with a focus on ensuring they integrate seamlessly without straining the native tissues.

The surgery is performed in a way that minimizes damage to breast structures, avoids unnecessary detachment, and preserves the natural anatomical planes.

Instead of forming a tight pocket, the tissues stretch and conform around the implant, allowing for a more natural integration.

  • Inframammary fold (under the breast)

  • Periareolar (lower edge of the areola)

  • Axillary (less common)

The attachment of the breast to the chest is preserved, which is key to achieving stability, a natural appearance, and better long-term results.

The Motiva implant is positioned to achieve symmetry, natural mobility, and an aesthetic result that is consistent with the patient's anatomy.

The incision is closed in a way that preserves the surrounding tissue and promotes a more comfortable recovery, with postoperative follow-up designed to ensure proper settling of the Motiva implant after treatment.

Breast augmentation cost in Barcelona

How does breast augmentation with tissue preservation differ from traditional breast augmentation?

Less invasive and gentler on the tissues

In traditional breast augmentation, the tissues are often stretched to make room for the implant. In contrast, breast augmentation with tissue preservation takes a more conservative approach, prioritizing the preservation of breast structures.

I have found that this less invasive surgical approach not only improves recovery but also reduces the likelihood of unnatural or stiff results.

Preserving the natural attachment of the breast to the chest

One of the key distinguishing features of this technique is that it preserves the breast’s natural attachment to the chest wall. This is essential for the breast to maintain its position and shape over time.

From a biomechanical standpoint, this natural alignment allows for much more stable movement—a point that is rarely explained in depth but makes a real difference compared to other techniques.

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Recovery

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Final results

Natural results, promoting recovery.

Supervised process

Throughout the entire process, Dr. Dewever oversees the progress and follow-up.

Real Benefits of Breast Augmentation

Breast augmentation with tissue preservation offers clear advantages over other techniques:

  • More natural-looking results right from the start
  • Less damage to breast tissue
  • Better integration of the implant with the surrounding tissues
  • Preservation of anatomy and function
  • A more balanced long-term trend

In my daily practice, this approach allows me to offer patients surgery that is more in harmony with their own bodies, without resorting to forced solutions.

Results and Long-Term Trends

One of the key benefits of breast augmentation is how the breasts change over time.

By respecting the anatomy and natural attachment, the result does not deteriorate artificially or lose its natural appearance over time.

I have observed that breasts treated with breast-conserving surgery age better, maintaining a much more natural shape and contour than those treated with more invasive techniques.

Who is a candidate for breast augmentation with fat grafting?

Preservative-based breast augmentation is particularly suitable for women who:

As always, treatment recommendations should be tailored to each individual following a comprehensive medical evaluation at our plastic surgery clinic in Barcelona, as everyone’s anatomy is different.

Preservé Technique: Before and After

Here are real before-and-after photos of our patients’ results using the Preserve technique. 

Cost of a breast augmentation at Preservé in Barcelona

The Preservé breast augmentation technique, which uses Motiva implants and is designed to offer a faster recovery and natural-looking results with minimal scarring, typically costs between approximately €6,990 and €8,500 in Spain . This price usually includes the use of the operating room and clinic facilities, the medical team’s fees, the breast implants, and postoperative follow-up care after the procedure .

At Clinica Belba, we provide a personalized quote following an evaluation by our specialist, so you have a clear figure with no surprises.

Real patient reviews

Verified reviews and testimonials highlighting the medical team’s support, the natural-looking results, and guided recovery.

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Breast Augmentation Specialists in Preservé

Dr. Mike Dewever

Dr. Mike Dewever

Plastic, reconstructive, and cosmetic surgeon

“The best surgery is one that is decided upon calmly, based on medical judgment and realistic expectations.”

A specialist in body and facial surgery, with a precise and anatomically respectful approach.
He employs advanced surgical techniques that prioritize tissue preservation and patient safety, with continuous medical follow-up throughout the entire process.

Dr. Marel Gomez

Dr. Marel GĂłmez

Plastic, reconstructive, and cosmetic surgeon

“Every patient is unique. Listening and providing support are part of the process.”

Specializing in cosmetic surgery with a natural and personalized approach.
Her priority is to ensure that every surgical decision is well-informed, focusing on both the outcome and the patient’s well-being and peace of mind before and after the procedure.

Dr. Laura Torrano Romero

Plastic, reconstructive, and cosmetic surgeon

Especialista en cirugía plástica y reconstructiva, con experiencia en unidades de mama y linfedema en hospitales de Barcelona. Se formó en la Universidad de Navarra y ha realizado estancias internacionales (como en Stanford y Mayo Clinic), además de tener varias publicaciones científicas y un doctorado en curso enfocado en microcirugía  

Dr. Felix Chavarria

Dr. Felix ChavarrĂ­a

Plastic, reconstructive, and cosmetic surgeon

“It’s not about performing more surgeries, but about performing the right ones.”

With extensive experience in plastic and reconstructive surgery, he is known for his medical judgment and his conservative approach whenever possible.
He employs techniques that minimize the impact of surgery and promote a more controlled recovery, always within a safe hospital setting.

Frequently Asked Questions About Breast Augmentation

Yes. By preserving the natural tissues and the breast's natural shape, the result is more natural both visually and functionally.

Compared to traditional techniques, yes. Damage to breast tissue is minimized, local anesthesia is used, and this approach promotes better adaptation to the implant.

Yes. The preservation technique is often associated withMotiva implants, which are designed to better integrate with this preservation-focused approach.

Anatomical preservation promotes greater stability and better long-term results.

The Preservé breast augmentation is the opposite of traditional breast augmentation, which often disregards the anatomical structure, distorts the pectoral muscle, and disrupts the breast’s natural structure by placing an implant under the muscle.
The Preservé technique respects the anatomy of the breast, particularly the fibrous tracts that support the breast to prevent sagging, as well as the nerve supply.

Yes, the breast augmentation procedure leaves a nearly invisible 2.5-centimeter scar below the inframammary fold, which is practically undetectable to the naked eye.