Breast Augmentation: from classic approach to Preservé®

• If you are reading this page, you already have an idea of what you want to change.

• Before the consultation I ask you to make a specific effort: define what you do not like about your breasts and what you would like to achieve. Collect reference photos showing results that look proportionate and natural to you.

• During the consultation I analyse your expectations and evaluate your anatomy. The goal is to understand what is realistically achievable in your specific case.

• We proceed only when there is full coherence between what you want and what your anatomy allows. This evaluation also determines which technique is most suitable for you: Preservé® or a traditional approach.

Before the procedure, preoperative tests are required: blood tests, an electrocardiogram and, depending on age and clinical situation, a breast ultrasound or mammogram.

• The choice of implant positioning plane depends on the patient's anatomy and the technique used.

• With the traditional technique I favour dual plane positioning, under the pectoralis major muscle, for better tissue coverage and a more natural result. Subglandular positioning is rarely used.

• With Preservé® the implant is placed in a pre-pectoral position, in front of the muscle, avoiding muscle involvement and the dynamic deformations typical of retromuscular techniques.

• The scar is located in the inframammary fold, from 2.5 to 3.5 cm with the traditional technique, often more contained with Preservé®. In some cases access is along the lower border of the areola

• Hybrid breast augmentation combines implants and lipofilling: fat harvested from the patient is transferred around the implant to improve tissue coverage, enhance the natural feel and achieve a lighter breast for the same volume, since fat weighs less than silicone.

• It is not suitable for everyone: it requires sufficient fat deposits. If you are very slim, this technique may not be feasible.

Post-operative follow-up is an integral part of the process. I will monitor your progress regularly from the first week until the result has fully settled.

• Recovery times vary depending on the technique used. With Preservé® return to sedentary work is possible in 1-2 days and sports activity resumes gradually and selectively from 7-10 days. With the traditional technique return to work is from approximately one week and full sports resumption at 4-6 weeks.

• The breasts will be fuller and heavier than before. Regular use of a supportive bra is important to maintain the result over time.

• I have chosen to work exclusively with Motiva implants for their material quality, advanced technology and clinical data: low capsular contracture rate and reduced rupture risk thanks to superior shell resistance.

• I was the first independent private plastic surgeon in Italy to obtain the Motiva licence when the Preservé® technique was introduced in Europe. A choice that reflects my commitment to the highest clinical standards.

• The Ergonomix2 version offers a highly cohesive, soft gel that dynamically follows body movements, contributing to a natural result both in appearance and to the touch.

• Preservé® is an approach to breast augmentation based on tissue preservation. The goal is not simply to increase breast volume, but to do so while respecting the patient's natural anatomy.

• The fundamental difference from the traditional technique is the way the space for the implant is prepared. With Preservé® a temporary expander progressively distends the tissues from within, following the concept of nesting: the implant is welcomed into a space prepared by the tissues themselves, not a pocket created by separating anatomical planes.

• The implant is placed in a pre-pectoral position, in front of the pectoral muscle, avoiding direct muscle involvement and the dynamic deformations typical of retromuscular techniques.

• Main advantages in suitable patients: faster recovery, no muscle involvement, scar often more contained, better integration between implant and natural tissues.

• Preservé® is not suitable for all patients. It requires adequate tissue coverage and is not the right choice in the presence of significant ptosis or very thin tissues. The best choice is not the newest one. It is the one best suited to the patient.

• A natural result is not a vague goal. It is a precise technical choice that begins with the evaluation of the patient's anatomy and is built through every decision: implant diameter consistent with the breast base, adequate tissue coverage, the most appropriate positioning plane, the most suitable implant type.

• With PRESERVÉ®, when the anatomy allows, this process is further optimised through the tissue-preserving approach that respects the tissues and favours greater integration between implant and natural breast.