At SVIA® Plastic Surgery in Los Gatos, we believe beautiful results should never come at the expense of your natural anatomy. Preserve™ by Motiva® is a modern, tissue-conscious approach to breast augmentation designed to support your body’s structure while enhancing shape, volume, and proportion.
A Thoughtful Advancement In Breast Enhancement
Among the first practices in the greater Silicon Valley area to introduce Preserve™ Breast Augmentation, SVIA® Plastic Surgery brings this tissue-conscious innovation to women seeking a more thoughtful approach to breast enhancement. Our board-certified, aesthetic fellowship–trained plastic surgeons completed hands-on training to seamlessly integrate this technique into our comprehensive breast surgery program. The result is a refined, anatomy-respecting method focused on preserving natural sensation, supporting long-term breast integrity, and honoring your native structure—while still achieving the soft, elegant, natural-looking results our Los Gatos patients expect.
What Is Preserve™?
Preserve™ Breast Augmentation in Los Gatos reflects an evolution in how implant pockets are created. Instead of broadly releasing supportive tissues, this technique is designed to carefully and precisely prepare space while respecting the structures that contribute to shape, support, and sensation.
How Preserve™ Differs
Traditional breast augmentation methods often involve wider dissection to create room for an implant. Preserve™ follows a more refined, tissue-conscious philosophy—prioritizing control, precision, and structural integrity.
This approach is designed to:
- Respect native breast tissue and ligament support
- Emphasize controlled expansion rather than extensive cutting
- Minimize disruption to surrounding muscle
- Reduce overall surgical trauma during pocket creation
Using specialized instrumentation, tissue is gently and methodically expanded, helping maintain muscular and ligamentous support while preparing an optimal implant space.
Elevated Implant Technology
Preserve™ is performed in conjunction with SmoothSilk® Ergonomix2® implants, developed with advanced surface and gel technology intended to support softness, natural drape, and responsive movement.
Emerging research published in Nature Biomedical Engineering suggests that implant surface characteristics may influence the body's response to implanted materials (Doloff et al., 2021).
In addition, early clinical evaluations of Ergonomix2® implants have demonstrated favorable safety data and natural-appearing aesthetic outcomes in breast augmentation patients (Szychta, 2024).
Preserve™ Benefits
- Soft, elegant upper fullness that enhances your silhouette—never artificial or overdone
- Implants designed to respond naturally to movement, shifting subtly with your posture and body
- A refined, tissue-conscious technique aligned with today’s emphasis on preservation and overall wellness
- Proportional enhancement customized to your frame—balanced, never overpowering
- Results that harmonize with your existing breast shape, enhancing what’s already beautifully yours
Are You a Candidate for Preserve™ Breast Augmentation?
You may be a strong candidate for Preserve™ breast augmentation in Los Gatos if you:
- Are exploring breast augmentation for the first time
- Have good skin quality and adequate soft-tissue support
- Notice mild drooping or pseudoptosis, and hope to enhance fullness without necessarily requiring a lift
- Have not had prior breast surgery
- Have subtle asymmetry or naturally smaller breast volume
- Desire refined, natural-looking enhancement with an emphasis on structural support and long-term stability
Preserve™ may not be the best fit if you:
- Have significant skin laxity or very thin breast tissue
- Have experienced major weight loss that has substantially reduced breast support
- Have connective tissue disorders that affect ligament strength
- Have moderate to severe ptosis (Grade III or higher), where a breast lift would be more appropriate
- Are primarily seeking a dramatic size increase beyond what your anatomy can safely and proportionally support
Why Choose SVIA® Plastic Surgery?
Dr. Jerome H. Liu and Dr. Tom S. Liu are board-certified by the American Board of Plastic Surgery and have completed dedicated aesthetic fellowship training—an advanced distinction achieved by only a select number of surgeons each year. Their education at nationally renowned institutions helped shape a surgical philosophy centered on precision, proportion, and preservation of long-term structural support. Our Los Gatos location is home to our fully accredited, state-of-the-art surgical suite, where safety, privacy, and attention to detail are paramount. Procedures are supported by experienced anesthesia professionals and a highly trained perioperative nursing team devoted exclusively to aesthetic and reconstructive surgery. From your initial consultation through recovery, your care is thoughtfully coordinated and highly personalized.
As part of the SVIA® network, our Los Gatos patients benefit from aligned standards and continuity of care across our Northern California locations, including Sacramento and San Mateo—ensuring consistency in safety protocols, technology, and follow-up support. Innovation is never adopted casually. Every advancement we introduce is carefully vetted, thoroughly trained on, and integrated only when it aligns with our guiding principles: safety first, respect for anatomy, and elegant, natural-looking results designed to endure.
What to Expect Before, During, and After
Consultation
During this visit, we:
- Carefully evaluate skin quality, soft-tissue support, chest wall anatomy, and overall proportions
- Discuss your aesthetic goals in depth, aligning expectations with what your anatomy can safely support
- Review implant options, sizing strategy, incision placement, and long-term considerations
- Provide a clear, individualized surgical plan so you can move forward with confidence
Preserve™ Breast Augmentation is an advanced, technology-integrated technique. At our Los Gatos location, investment typically begins around $18,000 and includes:
- Surgeon’s fee
- Fully accredited operating suite
- Board-certified anesthesia services
- Specialized instrumentation and implant technology
Final pricing is determined after your personalized assessment, ensuring your surgical plan reflects your unique goals and anatomy.
Procedure
- Thoughtful Incision Planning: Surgery is performed under general anesthesia in our fully accredited surgical suite in Los Gatos. Incisions are precisely placed—most often within the natural inframammary fold—to optimize access while supporting discreet scar healing.
- Tissue-Respecting Pocket Creation: Rather than broad tissue release, specialized instrumentation allows for controlled, measured expansion. This approach helps preserve structural support and minimize unnecessary disruption.
- Implant Placement: SmoothSilk® Ergonomix2® implants are inserted using a refined, no-touch technique to promote sterility and precise positioning.
- Meticulous Closure: Incisions are closed in careful layers to support smooth healing and refined scar quality.
Recovery & Results
Because Preserve™ is designed to limit tissue trauma, many patients experience a more comfortable early recovery compared to traditional approaches.
While healing varies from person to person, most patients can expect:
- First 48–72 hours: Mild to moderate swelling and chest tightness.
- About 1 week: Return to light daily activity.
- 2–3 weeks: Gradual reintroduction of lower-impact exercise.
- 6–12 weeks: Implants continue settling and softening.
- 3–6 months: Shape, movement, and contour appear increasingly natural.
Alternative or Complementary Options
Depending on your tissue characteristics, skin quality, and aesthetic goals, we may recommend a different approach or combine procedures to achieve the most balanced, long-lasting result:
- Traditional breast augmentation utilizing established pocket techniques when greater expansion or customization is required
- Breast augmentation with mastopexy (breast lift) to enhance volume while also elevating and reshaping the breast
- Breast lift alone to address skin laxity and restore a more youthful position without adding volume
- Autologous fat transfer to the breasts for subtle, implant-free enhancement using your body’s own tissue
FAQs
What distinguishes Preserve™ from traditional silicone or “gummy bear” augmentation?
Will breast augmentation affect my ability to breastfeed?
Do implants interfere with mammograms?
How long do implants last?
What risks should I understand?
Can Preserve™ help correct asymmetry?
Are drains typically used?
What if I decide to remove my implants in the future?
What distinguishes Preserve™ from traditional silicone or “gummy bear” augmentation?
Preserve™ describes the surgical technique, not simply the implant. While cohesive silicone implants are commonly used in many augmentations, Preserve™ combines a tissue-conscious pocket approach with SmoothSilk® Ergonomix2® implant technology to prioritize structural preservation and natural movement.
Will breast augmentation affect my ability to breastfeed?
Many women can breastfeed after augmentation—particularly when incisions are placed in the inframammary fold, and the glandular tissue is respected. The Centers for Disease Control and Prevention (CDC) notes that breastfeeding is often possible following breast surgery, though milk production varies by individual.
Do implants interfere with mammograms?
Breast implants do not prevent routine mammographic screening. However, specialized implant-displacement views are typically required. The U.S. Food and Drug Administration (FDA) recommends notifying your imaging facility about your implants so appropriate imaging techniques can be used.
How long do implants last?
Breast implants are not considered lifetime devices. Many remain intact and aesthetically stable for many years, and replacement is not required on a fixed timeline. Periodic monitoring and clinical evaluation help guide long-term decisions.
What risks should I understand?
All surgical procedures carry potential risks—even when performed with advanced, tissue-respecting methods. These may include:
- Capsular contracture (firmness from scar tissue tightening around the implant)
- Implant rupture or deflation
- Infection
- Bleeding or hematoma
- Changes in nipple or breast sensation
- Implant malposition
- Need for revision surgery
- Rarely, Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL), most commonly associated with textured implants
Can Preserve™ help correct asymmetry?
Mild to moderate asymmetry can often be improved through careful implant selection and precise pocket design. In some cases, different implant volumes may be recommended to create better balance. More significant asymmetry may require additional surgical planning, which will be discussed in detail during your evaluation.
Are drains typically used?
For most primary breast augmentations, surgical drains are not required. Intraoperative decisions are tailored to anatomy, technique, and safety considerations.
What if I decide to remove my implants in the future?
Implant removal (explantation) is always an option. Depending on your goals and tissue quality at that time, options may include:
- Implant removal alone
- Implant removal with capsulectomy
- Implant removal combined with a breast lift
Long-term planning is part of every consultation at SVIA® Plastic Surgery in Los Gatos, so both your immediate goals and future considerations are approached with clarity and foresight.
