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5 Stars from 720 reviews

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5 Stars from 720 reviews

Preservé® Breast Augmentation

Medically reviewed and approved by Tal T. Roudner, MD, FACS
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Plastic Surgery / Breast Surgery - Preservé® Breast Augmentation

Preservé by Motiva places your implant above the chest muscle through a small incision in the breast crease. Instead of cutting tissue to make room, we gently separate and stretch what is already there. Dr. Tal offers Preservé to carefully selected patients who want natural-looking volume and a faster return to daily life. Candidacy depends on your anatomy, your skin quality, and how much volume you want. Results vary from patient to patient.

Not every breast augmentation candidate wants to go through a muscle-cutting procedure to get there. Preservé was designed for exactly that patient. Dr. Tal T. Roudner, MD, FACS offers this tissue-preserving technique. It gives you fuller, natural-looking volume without the trade-offs of a traditional Breast Augmentation. Miami patients hear about it as the “no-cut” approach, and the appeal is easy to understand. A smaller incision, no muscle disruption, and a same-day return to normal movement are the draw. Dr. Tal starts with your anatomy, not the trend. He will tell you plainly whether Preservé is right for you, or whether a different approach will serve you better.

What Is Preservé Breast Augmentation?

Preservé by Motiva Breast Augmentation is a tissue-preserving approach utilizing Motiva’s SmoothSilk Ergonomix implants, that leaves your natural anatomy in place. . The pectoralis muscle stays intact. The ligaments, nerves, and blood vessels that support your breast stay intact. We do not cut through muscle or burn a path for the implant.

To make room, we gently part the tissue with a blunt instrument. A temporary sizing balloon then shapes the pocket before your implant goes in. A protective sleeve keeps the implant from touching your skin on the way in.

Preservé is designed for first-time Breast Augmentation, including first-time augmentation combined with a lift in appropriate cases. We will walk you through what to expect for your anatomy at your consultation.

How Does Preservé Breast Augmentation Work?

The procedure follows three steps through a single small incision hidden in the fold beneath the breast.

  • Creating space. We gently part the tissue with a blunt instrument, moving around it rather than cutting through it.
  • Shaping the pocket. A sizing balloon fills to your planned volume, and the tissue stretches to fit around it.
  • Placing your implant. The balloon comes out, and your implant goes in through a protective, no-touch sleeve.

No-touch insertion is linked to a lower capsular contracture risk and often a shorter incision than manual placement. We have used the Keller Funnel no-touch technique in our Breast Augmentation practice for years.

How Is Preservé Different From Traditional Breast Augmentation?

Traditional Breast Augmentation usually means general anesthesia, an incision of roughly three to five centimeters, cautery to build the pocket, and placement under or partially under the chest muscle. It is safe, flexible, and supported by decades of data. It also handles large implants, significant sagging, and revision cases that Preservé cannot.

Preservé trades that flexibility for a gentler experience: sedation instead of general anesthesia, a smaller incision, no muscle release (which means no animation deformity when you flex), and a shorter recovery.

Preservé is not a better operation. It is a different one, better for a specific patient. We will tell you plainly if you are that patient.

Patient Results
Before And After Case - Preservé<sup>®</sup> Breast Augmentation
Before
Before And After Case - Preservé<sup>®</sup> Breast Augmentation
After
Before And After Case - Preservé<sup>®</sup> Breast Augmentation
Before
Before And After Case - Preservé<sup>®</sup> Breast Augmentation
After
View Our Full Breast Augmentation Gallery

Am I a Good Candidate for Preservé Breast Augmentation?

Preservé suits patients who want a modest, natural-looking increase and who value getting back to an active routine quickly. You may be a strong candidate if you:

  1. Are seeking your first Breast Augmentation
  2. Have firm skin with little or no sagging
  3. Have enough natural tissue to cover an implant
  4. Want a subtle change rather than a dramatic one

Preservé is likely not the right choice if you:

  1. Want a large increase in volume
  2. Have significant sagging that calls for a Breast Lift
  3. Already have implants and need Breast Implant Revision

Prior breast surgery has already changed the internal anatomy that Preservé is designed to preserve.

Two firm requirements apply. Silicone implants are FDA-labeled for augmentation only in patients who are at least 22 years old. And if you smoke, you must stop 4 weeks before surgery and remain smoke-free for 3 weeks afterward.

If Preservé is not your best option, that is not the end of the conversation. We perform the full range of breast procedures and will recommend the approach that fits you.

What Is Recovery Like After Preservé Breast Augmentation?

Many patients are up and walking the same day, and many manage discomfort with over-the-counter medication. Light daily activity typically resumes within a few days. Full exercise is commonly cleared around two weeks, considerably faster than the four to six weeks often advised after submuscular.

Swelling settles over several weeks, and the implants continue to soften and drop into their final position over the following months. Some tightness and occasional shooting sensations are normal in the early weeks. Recovery is not the same for everyone, and we will give you a timeline built around your case rather than an average.

Will Preservé Affect Nipple Sensation or Breastfeeding?

Sensation changes are less likely with Preservé than with techniques that divide tissue. That is because the nerve pathways to the nipple are left undisturbed.

That said, sensation changes are a recognized complication of any breast implant surgery, and they can be temporary or permanent. Because glandular tissue and ducts are preserved, many patients retain the ability to breastfeed, though no surgeon can promise this.

 

What Risks Should I Understand Before Choosing Preservé?

Preservé is still surgery, and breast implants carry risks regardless of technique. Complications such as capsular contracture, rupture, malposition, infection, and asymmetry can occur, and breast implants are not lifetime devices.

One limitation deserves naming. Because the pocket is created without direct visualization, we rely on measurement and feel rather than sight. That places real weight on surgical judgment and experience.

Why Do Miami Patients Choose Dr. Tal for Preservé Breast Augmentation?

Tal T. Roudner, MD, FACS is an Ivy League trained, board-certified Miami plastic surgeon. He is board-certified by the American Board of Plastic Surgery and a Fellow of the American College of Surgeons (FACS). He completed his General Surgery residency at the University of Pennsylvania. His Plastic Surgery residency was at New York-Presbyterian, Columbia, and Cornell, with training at Memorial Sloan-Kettering Cancer Center and the Hospital for Special Surgery. He also completed an NIH-funded Dermatology fellowship at Thomas Jefferson University.

Breast surgery is where his reputation was built, and it’s reflected in the recognition he’s received over the years.

Awards and Recognition: 

  • Global Medical Awards – Most Outstanding in Breast Augmentation (2016)
  • Patients’ Choice Award (2011-2014) – Four consecutive years of recognition
  • Corporate LiveWire Medical Award – Excellence in Plastic Surgery
  • Featured in National Publications – Recognized as one of the most celebrated cosmetic surgeons in the nation

He holds a 4.9-star rating across 986+ reviews with 720+ five-star reviews to date.

Credentials matter, but judgment matters more with a newer technique. Patients tend to arrive having already consulted two or three surgeons, and what they say afterward is that Dr. Tal explained the trade-offs rather than selling the procedure. That is deliberate. A meaningful number of his patients travel to Miami from out of state specifically for that approach, and virtual consultations are available before you commit to travel.

Learn more about his training and philosophy of care.

What Are Patients Saying?

“Dr. Tal Roudner is an incredible surgeon. Before my procedure, I was very hesitant about getting breast augmentation and didn’t want to go to just any doctor. From the moment I met him, I felt comfortable and safe. He listened to what I wanted and helped me choose the perfect size. The results are exactly what I wanted: beautiful and natural, not overly done. People are always surprised when I tell them they’re implants because they look so natural. I recommend him to anyone considering breast augmentation and would absolutely choose him again.”
– Ana Lucia L. Google Review ⭐⭐⭐⭐⭐

“I had a breast augmentation with Dr. Roudner two months ago, and I couldn’t be happier with my results. He listened to what I wanted and made an educated decision on the best size for my frame. I’m very happy with my experience and grateful the team could help with everything.”
– Nelly H. Google Review ⭐⭐⭐⭐⭐

“I had the most wonderful experience with Dr. Tal as my surgeon. I was nervous to go under anesthesia for the first time, but I felt safe and cared for the entire time, which meant a lot to me. I had a breast augmentation, and the confidence boost it has given me is priceless. I can’t recommend him and his team enough.”
– Skylar N. Google Review ⭐⭐⭐⭐⭐

“I had the best experience with Dr. Tal and his team. Surgery was amazing, and recovery was a breeze. I really appreciated how detailed and thorough he was during consultations and appointments. Highly recommend to anyone considering breast augmentation.”
– Alexa L. Google Review ⭐⭐⭐⭐⭐

Hear from more of Dr. Roudner’s satisfied patients

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Frequently Asked Questions

Cost varies by implant selection, facility and anesthesia fees, and whether the procedure is combined with another. Our patient coordinator provides a written quote at your consultation, and payment plans are available.

The implant placement portion typically takes about 20 to 30 minutes per case, performed under sedation. Plan on being at the surgical facility for several hours including preparation, the procedure, and monitored recovery.

Yes, in appropriate cases. Preservé is designed for first-time augmentation, including first-time augmentation with a lift. Significant sagging usually calls for traditional augmentation-mastopexy instead, and we will assess this at your consultation.

Generally no. Preservé preserves anatomy that has already been altered by a previous augmentation. Patients seeking implant exchange or revision need a different surgical plan.

Many patients are cleared to fly within a few days, though we set this individually. Out-of-town patients should plan to stay in Miami for at least one post-operative visit.

Yes. Silicone implants are FDA-labeled for breast augmentation only in patients who are at least 22 years old.

Schedule a Consultation

If you are considering Preservé Breast Augmentation in Miami, the next step is a conversation about your anatomy and your goals. We will examine you, walk you through implant options, and tell you plainly whether Preservé or a different Breast Augmentation approach will serve you better. In-person and virtual consultations are both available.

Schedule a consultation with Dr. Tal today.

Schedule Now

Sources

  1. Morkuzu S, Ozdemir M, Leach GA, et al. “Keller Funnel Efficacy in ‘No Touch’ Breast Augmentation and Reconstruction: A Systematic Review.” Plastic and Reconstructive Surgery Global Open. 2022;10(11):e4676. https://doi.org/10.1097/GOX.0000000000004676
  2. U.S. Food and Drug Administration. “Risks and Complications of Breast Implants.” Center for Devices and Radiological Health. Content current as of 12/15/2023. https://www.fda.gov/medical-devices/breast-implants/risks-and-complications-breast-implants

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