Understanding Breast Augmentation using the Preserve Technique
Breast augmentation (breast enlargement) surgery involves the placement of breast implants. The Preserve technique is a tissue-preserving surgical approach to breast augmentation, performed using Motiva breast implants and purpose-designed surgical instruments.
The technique is designed to reduce disruption to the natural supporting structures of the breast during implant pocket creation. Rather than creating the implant pocket through conventional dissection alone, the Preserve technique uses specialised instruments to gradually develop the pocket, with the aim of limiting trauma to surrounding breast tissue, ligaments and nerves.
The procedure is performed through an incision placed in the inframammary fold (the natural crease beneath the breast), which is typically shorter than the incision used in conventional breast augmentation. The implant is inserted using a no-touch delivery technique via an insertion sleeve.
As with all breast augmentation surgery, the Preserve technique is considered following consultation and clinical assessment, taking into account individual anatomy, medical history and treatment considerations. Not all individuals are suitable candidates for this approach, and whether it is clinically appropriate is determined during consultation.
Dr Rohit Kumar is a Specialist Plastic Surgeon who has completed formal training in the Preserve technique and performs breast augmentation surgery in Sydney, Penrith and Orange. All procedures are considered following consultation and individual assessment.
Suitability for the Preserve Technique
Suitability for breast augmentation using the Preserve technique is determined following consultation and clinical assessment. Factors such as medical history, breast anatomy, existing breast tissue and individual circumstances are considered.
The Preserve technique may be discussed for individuals who:
- Are considering breast augmentation and wish to explore a tissue-preserving surgical approach
- Present with differences in breast volume or breast symmetry
- Have experienced changes in breast anatomy associated with weight fluctuations, pregnancy or breastfeeding
- Are seeking information about implant options and surgical techniques as part of informed decision-making
The Preserve technique is performed with specific Motiva implant types and within a defined range of implant sizes. It involves placement of the implant above the chest muscle. For this reason, it may not be appropriate for all anatomical presentations or treatment goals. Where the Preserve technique is not clinically suitable, alternative surgical approaches to breast augmentation may be discussed.
A consultation with Dr Rohit Kumar is required to determine whether this technique is clinically appropriate and to discuss potential risks, recovery considerations and possible outcomes, which vary between individuals.
Are you ready to book in with Dr Kumar?
What to Expect at Your Initial Consultation
The initial consultation is an opportunity to discuss your medical history, concerns and treatment considerations. Dr Rohit Kumar will assess whether the Preserve technique, or an alternative surgical approach, may be clinically appropriate based on individual circumstances.
During your consultation, discussion may include:
- A physical examination, where appropriate
- Clinical photographs and, in some cases, 3D imaging for illustrative purposes only
- Review of before-and-after images for educational reference, noting that individual outcomes vary
- Discussion of the Preserve technique and how it differs from conventional breast augmentation approaches
- Explanation of Motiva implant options relevant to this technique
- Explanation of risks, recovery considerations and limitations of surgery
- Information regarding fees and potential scheduling
- Opportunity to ask questions
Treatment options, including implant type, size and surgical approach, are discussed during consultation to support informed decision-making. No outcomes can be guaranteed, and suitability varies between individuals.
You are welcome to bring a support person to your appointment if you wish.
The Preserve Technique Procedure
Breast augmentation using the Preserve technique is performed by Dr Kumar under general anaesthesia in accredited private hospitals, following consultation and clinical assessment. The duration of the procedure varies depending on individual factors and surgical planning.
Anaesthesia
General anaesthesia is administered by a qualified anaesthetist. The type of anaesthesia and medications used are determined based on clinical considerations and discussed prior to surgery.
How the Preserve Technique Works
The Preserve technique uses a sequence of purpose-designed surgical instruments to create the implant pocket in a controlled, graduated manner:
- Incision, A short incision is made in the inframammary fold, positioned to sit within the natural crease beneath the breast.
- Channel creation, A specialised instrument (channel separator) is used to develop a narrow pathway through the tissue plane, rather than creating the full pocket by conventional dissection.
- Pocket development, An inflatable balloon device is introduced and gradually expanded to develop the implant pocket. This is designed to elongate and preserve the surrounding tissue and supporting ligaments of the breast, rather than dividing them.
- Implant insertion, The Motiva implant is delivered through an insertion sleeve using a no-touch technique, which means the implant is not handled directly during placement.
The implant is positioned above the chest muscle, in a plane determined by individual anatomy and surgical planning. The intent of this approach is to reduce disruption to the natural architecture of the breast during surgery. As with all surgical techniques, individual experiences and outcomes vary.
Motiva Implants
The Preserve technique is performed with Motiva breast implants, which are silicone gel implants designed with a specific surface and gel technology. The implant type and size used with this technique are drawn from a defined range, and selection is based on individual anatomy, surgical considerations and clinical assessment.
Implant characteristics, the available size range, and the differences between implant options are discussed during consultation to support informed decision-making.
Closing the Incisions
- At the completion of surgery, incisions are closed using appropriate surgical techniques.
- Closure methods may include the use of dissolvable sutures placed beneath the skin, depending on the procedure performed.
- The use of dressings and post-operative garments varies and is determined based on individual surgical factors.
- Post-operative wound care and garment instructions are provided following surgery.
Recovery After Breast Augmentation using the Preserve Technique
Recovery following breast augmentation surgery varies between individuals and depends on factors such as the extent of surgery, individual healing response and overall health.
The Preserve technique is designed to reduce tissue disruption during surgery. Individual recovery experiences vary, and no particular recovery timeline can be guaranteed.
Guidance regarding time away from work, driving and physical activity is provided during consultation and reviewed as part of post-operative care.
Post-operative garments may be recommended following surgery as part of standard care. Instructions regarding their use are provided after surgery.
Follow-up appointments form an important part of post-operative care. Adhering to post-operative instructions and attending scheduled reviews supports appropriate recovery.
Before-and-after images of breast augmentation procedures performed by Dr Rohit Kumar are available for educational purposes, noting that individual outcomes vary.
Breast Augmentation Surgery Costs
The cost of breast augmentation using the Preserve technique varies depending on individual factors such as the type of procedure performed, implant selection, hospital fees and anaesthetic requirements.
Following your initial consultation with Dr Rohit Kumar, you will be provided with a detailed itemised quote. This may include:
- Surgeon fees
- Anaesthetist fees
- Surgical assistant fees
- Hospital or operating theatre fees
- Post-operative care and follow-up as part of standard clinical practice
Implants and any additional procedures are quoted separately where applicable. Breast augmentation surgery is performed in accredited private hospitals, with hospital fees varying depending on the facility used.
Information about available payment options can be provided on request and discussed during consultation.
For general information about fees, please refer to our [costs page].
Post-Surgery Considerations
Outcomes following breast augmentation surgery vary between individuals and may be influenced by factors such as changes in body weight, skin characteristics, pregnancy and breastfeeding.
Individual healing responses and longer-term changes are discussed during consultation and reviewed as part of follow-up care. Maintaining realistic expectations is an important part of informed decision-making.
As with all breast implant surgery, breast implants are not considered lifetime devices, and further surgery may be required in the future. Long-term monitoring considerations are discussed during consultation.
What Are the Risks of Breast Augmentation Using the Preserve Technique?
If you are considering breast augmentation surgery, it is important to be informed about the potential risks, complications and side effects associated with the procedure.
The Preserve technique is a surgical procedure, and it carries the risks associated with breast augmentation surgery. Complications can occur despite appropriate medical care. These risks are discussed in detail during consultation to support informed decision-making.
Potential Risks
- Bleeding
- Infection
- Injury to surrounding tissues
- Fluid or blood collection requiring drainage
- Changes in breast or nipple sensation
- Firmness
- Delayed wound healing
- Scarring
- Implant malposition
- Implant rupture
- Capsule formation or capsular contracture
- Rippling or wrinkling of the implant or skin
- An association with Breast Implant–Associated Anaplastic Large Cell Lymphoma (BIA-ALCL)
As a newer surgical approach, long-term outcome data for the Preserve technique continues to be collected. This is discussed during consultation as part of informed decision-making.
