Preservé (PRESERVE) Breast Augmentation in Turkey

Preservé (PRESERVE) breast augmentation is a modern, tissue-preserving breast implant technique designed to enhance volume while respecting natural breast anatomy. In Preservé, the implant is placed in the natural anatomical space between the breast tissue and the chest muscle (prepectoral plane), aiming to minimise disruption to breast tissue, muscle, and supporting structures.

Op. Dr. Gökhan Beyhan is a certified surgeon for the Preservé technique and performs Preservé breast implant surgery in Istanbul, Turkey with a focus on natural-looking results and long-term tissue health.

What is the Preservé (PRESERVE) technique?

The Preservé technique is built around creating an implant pocket without cutting breast tissue or chest muscle. The natural anatomical plane is gently separated and expanded, helping preserve the integrity of the breast’s internal structures.

A key concept is protecting supporting tissues such as Cooper’s ligaments, which may help maintain breast shape stability over time and may reduce risks such as early sagging or implant displacement in appropriately selected patients.

In selected candidates, Preservé breast augmentation can be performed without general anaesthesia using tumescent local anaesthesia, with or without light sedation. Many patients find this approach more comfortable in the early recovery period compared with traditional submuscular techniques.

How is Preservé breast augmentation performed?

Step-by-step overview

1. Tumescent local anaesthesia is applied to fully numb the breast area and help minimise bleeding.
2. A small incision (typically around 2 cm) is made in the inframammary fold (under-breast crease).
3. The natural anatomical space between the breast tissue and chest muscle is gently prepared using specialised instruments.
4. Controlled balloon expansion is used to create the implant pocket while minimising tissue trauma.
5. The implant is inserted using a closed, no-touch technique to reduce handling and contact.
6. The incision is closed with fine sutures, and a surgical bra is applied for support.

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Advantages of Preservé breast implants

Preservé is designed to be tissue-sparing and minimally invasive, aiming to support comfort and a natural feel when the patient’s anatomy is suitable.

Key benefits

• Tissue-preserving approach: minimal cutting and minimal trauma to breast structures
• Minimally invasive technique: reduced disruption compared with traditional methods
• Respect for natural breast anatomy: implant follows the natural breast envelope
• Prepectoral (over-the-muscle) placement: no muscle dissection in appropriate patients
• Small, discreet incision: commonly hidden in the inframammary fold
• Often faster recovery: many patients return to daily routines sooner
• Natural look and feel: especially in patients seeking subtle, proportional enhancement
• Lower stiffness and movement restriction: compared with submuscular placement in many cases
• Closed, no-touch insertion approach: reduces implant handling

Safety note: BI-ALCL and implant surface

Motiva SmoothSilk implants have had no reported BI-ALCL cases to date in available reporting; this does not mean the risk is zero. As with any breast implants, routine follow-up and clinical awareness are recommended.

Which implants are used with Preservé?

Preservé breast augmentation is commonly performed with Motiva Ergonomix2 JOY implants, selected for their design and soft, adaptive feel.

Motiva Ergonomix2 JOY highlights

• Adaptive gel designed to respond to body position
• Soft, natural breast feel
• SmoothSilk surface technology
• Flexible TrueMonobloc structure
• Suitable for minimal-touch insertion techniques

Motiva warranty programs may include coverage for rupture and additional protection for capsular contracture depending on current terms and implant registration.

Who is a good candidate for Preservé breast augmentation?

Preservé is not suitable for everyone. Patient selection is critical for safety, aesthetics, and long-term stability.

Suitable candidates often include

• Patients with no sagging or only minimal sagging
• Patients with adequate breast tissue thickness
• Those who do not require submuscular implant placement
• Patients seeking a natural, moderate enhancement (commonly 1–2 cup sizes)
• Those who want faster recovery and minimal disruption to chest muscle
• Selected patients who prefer to avoid general anaesthesia when medically appropriate

Important: implant size limitation

With the Preservé technique, the maximum implant size is generally around 330 cc. The final implant volume is determined by breast tissue thickness, breast base width, and the size of the natural anatomical pocket. This limitation helps protect tissues and supports a natural long-term result.

Patients requesting very large implants or patients with significant sagging may be better suited to alternative approaches such as different placement planes or a combined breast lift (mastopexy).

Preservé recovery timeline

Recovery varies by patient, anatomy, and whether additional procedures are performed.

What most patients can expect

• Discomfort is often milder than traditional submuscular techniques
• Many patients return to desk-based work in 1–3 days (individual variation applies)
• Swelling reduces gradually over several weeks
• Final shape continues to settle over the following months
• Return to exercise is planned individually and guided by your surgeon

Preservé breast augmentation cost in Turkey

Preservé may be more costly than standard breast augmentation because it often involves specialised single-use devices for pocket preparation and specific implant choices.

Final pricing depends on:

• Breast anatomy and tissue quality
• Implant size and model selection
• Hospital and anaesthesia preferences
• Whether additional surgery is needed (for example, breast lift)

A personalised quote is provided after photo evaluation and consultation.

Preservé consultation in Istanbul, Turkey

To assess whether Preservé is right for you, you can request an online or in-person consultation. Typically, the following information is helpful:

• Clear front and side photos in good lighting
• Height, weight, and your desired size goal
• Previous breast surgery, pregnancy, or breastfeeding history
• Current medications and relevant medical conditions

If you would like a personalised Preservé breast implant plan in Turkey, you can request an assessment and receive a clear recommendation based on your anatomy and goals.

Frequently asked questions about Preservé breast implants

Is Preservé over the muscle or under the muscle?

Preservé is typically performed in the prepectoral (over-the-muscle) plane, placing the implant in the natural anatomical space between breast tissue and chest muscle, when anatomy is suitable.

Does Preservé require general anaesthesia?

In selected patients, Preservé may be performed using tumescent local anaesthesia with or without light sedation, avoiding general anaesthesia. Your surgeon will advise what is safe and appropriate for you.

What is the maximum implant size with Preservé?

The maximum implant size is generally around 330 cc, but the final size is determined by your breast measurements, tissue thickness, and pocket dimensions.

Can Preservé be combined with a breast lift?

If sagging is more than minimal, a breast lift (mastopexy) may be recommended. In some cases, a lift can be combined with augmentation depending on anatomy and surgical planning.

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