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Preservé Breast Augmentation

A lighter touch. A beautifully considered shape.

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Proportion, Softness, and Natural Movement.

Am i a Candidate?

Preservé breast augmentation offers Houston patients an advanced option designed around proportion, softness, and natural movement.

At Heights Plastic Surgery, Preservé by Motiva® minimizes disruption to natural breast tissue and the pectoral muscle. It can be performed without general anesthesia, an important distinction for women uneasy about being fully unconscious. The goal is proportional enhancement through a small incision, with a potentially smoother recovery than traditional breast augmentation.

On this page Procedure Treatments Benefits Candidates Recovery Results FAQs Consultation
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Procedure Overview

Augmentation Mammoplasty, also known as: breast augmentation \ og-men-TAY-shun MA-moh-pla-stee \

Plastic surgery procedure that adds volume and symmetry to the breasts via breast implants or fat grafting

Procedure options: Breast Augmentation, Silicone Breast Implant Enhancement, Transaxillary Breast Augmentation, Peri-areolar Breast Augmentation, Breast Augmentation Lift

Addresses Naturally small breasts, Mild breast asymmetry, Volume loss after pregnancy, aging, or weight fluctuations, Desire for subtle, proportional enhancement

Procedure Time 1–2 hours

Eligibility Female, 22+, Non-smoker, At least 6 months post-breastfeeding, Adequate natural breast tissue and skin quality

Possible Side Effects Swelling, Bruising, Temporary tightness or discomfort, Temporary changes to breast or nipple sensation

What Is Preservé Breast Augmentation?

Preservé breast augmentation uses proprietary Motiva instruments to create an implant pocket while minimizing disruption of native support structures. A Motiva SmoothSilk® Ergonomix® implant is placed for soft, natural-looking outcomes.

Controlled tissue expansion forms space for the implant while preserving natural tissue, support structures, sensation, and the pectoral muscle when anatomy allows. Local anesthesia and light sedation let qualified patients avoid general anesthesia.

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How Does the Preservé Technique Work?

Through a small incision, specialized instruments create a precise channel and gently expand the breast tissue. A dedicated sleeve supports controlled implant placement with limited handling.

Local anesthesia numbs the area while light sedation promotes relaxation. Preserving the pectoral muscle and using this lower-impact approach may mean less tissue trauma and an easier recovery. Experiences vary.

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Preservé vs. Traditional Breast Augmentation

Traditional augmentation often uses general anesthesia and more extensive pocket dissection. It remains valuable for thin tissue coverage, significant asymmetry, prior surgery, or specific implant goals.

Preservé breast augmentation takes a more conservative approach. Breast tissue, desired size, skin quality, and lifestyle determine which technique offers the safest balance.

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Why Avoiding General Anesthesia Matters

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For some women, anesthesia is the concern.

With Preservé breast augmentation Houston patients who are qualified have the option to avoid the loss of consciousness, airway support, and deeper medications associated with general anesthesia. Local anesthesia controls sensation at the surgical site, while light sedation supports calm and comfort. This approach may also reduce anesthesia-related concerns such as postoperative nausea, mental fogginess, or a sore throat. It does not remove the need for monitoring.

Benefits of Preservé Breast Augmentation

Potential benefits of Preservé breast augmentation include:

  • Minimal disruption of natural breast tissue
  • Preservation of the pectoral muscle
  • A smaller, discreet incision
  • The ability to avoid general anesthesia when medically appropriate
  • Potentially less postoperative pain and swelling
  • A smoother or faster recovery
  • Soft contours and natural movement
  • Implant selection based on anatomy
  • Long-lasting results with appropriate monitoring
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Related Procedures

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Breast Lift
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Breast Reduction
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Breast Reconstruction

Am I a Candidate for Preservé Breast Augmentation?

Good candidates are healthy women seeking primary breast augmentation with enough tissue to support the implant. Preservé breast augmentation may appeal to patients whose concerns about general anesthesia have delayed surgery.

They must still qualify for local anesthesia and sedation. Significant loose skin, marked drooping, limited tissue coverage, or complex revision needs may require traditional augmentation, a breast lift, fat transfer, or combined surgery. Pregnancy, aging, and weight fluctuations can change the result.

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Your Consultation at Heights Plastic Surgery

Dr. Cara Downey or Dr. Jamal Bullocks will evaluate breast width, tissue thickness, nipple position, chest-wall anatomy, asymmetry, history, and goals. You will discuss implant dimensions, local anesthesia, sedation, comfort, and safety.

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How to Prepare for Surgery

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Preparation for Preservé breast augmentation may include testing, breast imaging, medication adjustments, stopping nicotine, and arranging transportation and help at home.

Follow all eating, drinking, and prescription instructions.

The Preservé Breast Augmentation Procedure

At our practice in Houston Preservé breast augmentation is performed in an accredited surgical facility with continuous monitoring.

Local anesthesia numbs the breast while light sedation supports relaxation. General anesthesia is not required for qualified patients. Your Houston plastic surgeon creates the channel, expands the space, inserts the implant, and closes the incision.

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Recovery After Preservé Breast Augmentation

Following Preservé breast augmentation Houston patients can expect tightness, swelling, bruising, and temporary soreness. Avoiding general anesthesia may mean less nausea, grogginess, or throat discomfort, although responses vary.

Many patients resume light activity relatively quickly. Driving, work, exercise, lifting, and upper-body movement restart with the surgeon’s approval. Recovery varies with anatomy, implant size, and additional procedures.

Contact Heights Plastic Surgery promptly for increasing pain, one-sided swelling, fever, drainage, shortness of breath, or another unexpected change.

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Preservé Breast Augmentation Results

The breasts initially sit higher and feel firmer. Their final shape develops as swelling resolves and the implants settle.

Results can be long-lasting, but breast implants are not lifetime devices. Aging, pregnancy, gravity, and weight fluctuations continue to affect natural tissue. Future imaging, implant exchange, revision, or a breast lift may eventually be needed.

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Cost of Preservé Breast Augmentation in Houston

Cost of Preservé breast augmentation varies with implant selection, anesthesia, facility fees, complexity, and additional procedures.

Your personalized quote explains surgeon, implant, anesthesia, facility, and follow-up costs.

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Risks and Breast Implant Safety

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Possible complications include bleeding, infection, delayed healing, scarring, asymmetry, sensation changes, malposition, rippling, rupture, capsular contracture, pain, and additional surgery. Local anesthesia and sedation also carry risks.

Motiva SmoothSilk Round and Round Ergonomix silicone implants are FDA-approved for breast augmentation in women age 22 and older. FDA approval applies to the implant; Preservé describes the specialized technique and instruments used to place it.

Review the manufacturer’s decision checklist before surgery. The FDA recommends ultrasound or MRI screening for silent rupture after five to six years and every two to three years afterward.

Schedule a Consultation

If fear of general anesthesia has delayed breast augmentation, Preservé may offer another path. Meet with Heights Plastic Surgery to assess your candidacy.

Why choose Heights Plastic Surgery?

Dr. Downey and Dr. Bullocks are board-certified plastic surgeons who collaborate on breast surgery planning with careful attention to natural proportion.

Our Houston, Texas practice offers private care and an accredited surgical facility. Dr. Downey can determine whether a no-general-anesthesia approach is appropriate without compromising surgical precision or patient safety.

Contact us today to book your appointment

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Refined Brilliance in Every Detail

Heights Plastic Surgery’s
 Commitment to Excellence

True confidence relies on exceptional skill and a shared dedication to your care.

Meet Your Surgical Team

At Heights Plastic Surgery, we elevate your experience by bringing highly focused specialists together under one roof. Your aesthetic goals are guided by a team of board-certified plastic surgeons who have collectively published over 60 peer-reviewed medical papers and lectured around the world.

Board-certified plastic surgeon Dr. Cara Downey (who has been featured in Vogue) blends deep clinical knowledge with a vital female perspective to deliver elegant, beautifully natural-looking outcomes. Dr. Jamal Bullocks is a board-certified plastic surgeon and reconstructive surgery expert who pairs extensive research with international leadership, bringing absolute precision to every procedure. Dr. Megan Swonke is a fellowship-trained facial plastic surgeon and an ear, nose, and throat (ENT) specialist, whose unique background allows her to focus deeply on balance and harmony for the face and neck.

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Our private, in-house surgery center offers the highest levels of safety, comfort, and privacy, and our comprehensive skin and wellness care ensures your aesthetic journey is entirely seamless. When you choose Heights Plastic Surgery, you are giving yourself the highest caliber of collaborative care from trusted experts who elevate beauty and empower confidence.

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Preservé Breast Augmentation Frequently Asked Questions

Can Preservé breast augmentation really be performed without general anesthesia?

Yes. Local anesthesia and light sedation can keep qualified patients comfortable without general anesthesia. Dr. Downey reviews your health, anxiety, anatomy, and surgical plan before confirming the safest approach.

Is Preservé breast augmentation less painful?

Minimizing disruption may reduce discomfort for some patients. Pain still varies with anatomy, implant size, and healing.

Does Preservé include a breast lift?

No. Augmentation adds volume; a breast lift repositions sagging tissue. Selected patients may combine them.

How large can I go with Preservé?

Size depends on tissue coverage, breast width, skin quality, and safety. Your surgeon will recommend dimensions that respect your anatomy.

Can Preservé prevent implant complications?

No. It cannot eliminate infection, capsular contracture, rupture, malposition, sensation changes, or future surgery.

How long do the results last?

Results can last years, but implants are not lifetime devices. Regular follow-up and imaging remain essential.

Shine On All Year Long

Heights Plastic Surgery Membership Plans

When skin maintenance and aesthetics-inspired wellness protocols become part of your regular routine, your body stays nourished, collagen production stays active, and you feel refreshed, day in and day out. Our Heights Plastic Surgery membership offerings remove the guesswork of your next visit, making it easy to stay true to your plan while enjoying preferred pricing on treatments.

Diamond Club Membership

The Diamond Club membership includes one clinical treatment each month (such as a Hydrafacial, chemical peel, or IPL photofacial), plus an exclusive 10% discount on surgical cases and additional medical spa services.

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Essex Society Membership

The Essex Society membership provides a personalized approach to longevity, offering comprehensive baseline lab panels, monthly body composition tracking, complimentary wellness injections, and tiered savings on peptide regimens and medspa treatments.

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