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Redefining Breast Augmentation With an Anatomically Respectful Technique

The Boston Center for Plastic Surgery is excited to introduce Motiva Preservé, a revolutionary technology that preserves the natural structures of the breast, reduces tissue trauma, and achieves incredibly soft, natural-looking results. As a teaching site affiliated with Harvard Medical School and backed by over 35 years of surgical expertise, our practice is committed to advancing techniques that push the field forward.

What Is Motiva Preservé™?

Motiva Preservé™ is a modern breast augmentation approach developed to respect the breast’s natural anatomy. Instead of cutting through or disrupting the pectoralis muscle, this method gently creates space for the implant using a controlled, gradual expansion process.

Preservé combines three proprietary components engineered for precision and minimal invasiveness:

  • Motiva® Channel Separator: Creates a slim, guided pathway with minimal disturbance to surrounding tissue.
  • Controlled Inflation Balloon: Gently expands the natural tissue layers to form a custom breast pocket without cutting muscle fibers or ligaments.
  • No-Touch Insertion Sleeve: Enables the smooth placement of SmoothSilk Ergonomix implants with enhanced sterility and accuracy.

The result is a softer look and feel, achieved with smaller implants, less disruption to your anatomy, and a faster recovery.

Benefits of Motiva Preservé™

Patients choose Preservé™ for its sophisticated blend of science, aesthetics, and comfort:

  • Preserves native breast support structures
  • Minimizes trauma, bleeding, and inflammation
  • Allows for smaller incisions and discreet scars
  • Avoids pectoralis muscle cutting or distortion
  • Produces soft, natural movement and long-term stability
  • Uses SmoothSilk® Ergonomix® implants with extensive safety data
  • Typically quicker, more comfortable recovery
  • Exceptionally low malposition and capsular contracture rates (based on emerging global data)
  • Eligible for Motiva’s Women’s Choice Program® and warranty options

Are You a Good Candidate?

You may be an excellent candidate for Motiva Preservé™ breast augmentation in Boston if you are:

  • Planning your first breast augmentation and desire a less invasive experience
  • Drawn to a “mini augmentation” or graceful, athletic “ballerina” look
  • Interested in a hybrid augmentation (implant + fat transfer) or lift-with-implant procedure
  • Seeking to preserve your breast parenchyma, ligaments, and muscle integrity
  • In good physical health with a stable weight
  • A non-smoker or able to quit before surgery
  • Not pregnant, breastfeeding, or planning significant weight changes soon

Why Choose Boston Center for Plastic Surgery?

Dr. Vickram Tandon and Dr. Sean Doherty both perform Motiva Preservé™ at the Boston Center for Plastic Surgery. Board-certified and trained at the University of Michigan, Dr. Tandon is known for a refined, detail-oriented approach to breast surgery and belongs to The American Society for Aesthetic Plastic Surgery.

Board-certified since 2010, Dr. Doherty earned his medical degree from Tufts University School of Medicine after a B.A. from Columbia College, and has practiced at the Boston Center for Plastic Surgery since 2014. He holds affiliations with Beth Israel Deaconess, New England Baptist, and St. Elizabeth's Medical Center, and belongs to several national plastic surgery societies. With either surgeon, patients can expect clear communication and results built around their natural frame.

Before & After

Preservé by Motiva Breast Augmentation 

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Procedure: motiva, breast augmentation

At 5 months post-op, this athletic patient showcases her enhanced feminine curves from a Preservé by Motiva breast augmentation with Dr. Vickram Tandon. Using 245 cc and 230 cc implants to create natural fullness and balance, her muscle-preserving procedure was designed for beautiful volume with minimal downtime. Her rapid recovery allowed her to get back to the gym in just two weeks without missing a beat—leaving behind nearly imperceptible incisions and results she absolutely loves!

Procedure: motiva, breast augmentation, breast lift

At 3 weeks post-op, this mom in her 40s showcases her beautifully restored shape from a Preservé by Motiva breast augmentation with breast lift by Dr. Vickram Tandon. To correct upper-pole deflation and balance significant asymmetry without adding excessive size, Dr. Tandon strategically placed a Motiva Low (Mini) Profile 150 cc implant on the left and a Moderate (Demi) Profile 190 cc implant on the right. By preserving the body's natural "internal bra," the Preservé technique delivered targeted upper-pole volume and refined proportions—all without requiring Galaflex or a surgical bra.

Procedure: breast augmentation, motiva

At 3 months post-op, this active 40-year-old business owner shows off her natural results from a muscle-preserving subfascial breast augmentation with Dr. Vickram Tandon. Using Motiva RSD-340 and RSD-360 implants to balance her proportions, her procedure was tailored for enhanced volume with minimal downtime. Her rapid recovery allowed her to get back to business without interrupting her routine—and she’s already returned from a sunny Florida getaway proudly enjoying her new shape!

This beautiful mom had lost volume following pregnancy and just wanted a subtle breast boost without downtime. Dr. Tandon was able to deliver. She is shown 3 weeks after her  Preservé by Motiva breast augmentation using ERSD-230 (natural shaped, moderate profile, 230 cc implants) with a peri-areolar mastopexy and areolar downsizing (breast lift with incision just around the areola). She was able to cook breakfast and drive her kids to school on Day 1. She is back to the gym and we are thrilled she loves her results!

Procedure: Preservé, breast augmentation

At two months post-op, this Boston mother in her 30s shows off her natural, subtle results from a Preservé by Motiva breast augmentation with Dr. Vickram Tandon. Using Motiva Ergonomix Demi Profile implants (245 cc and 230 cc) to balance her natural symmetry, her procedure prioritized improved shape with minimal downtime. Her recovery was remarkably fast—she returned to full mom duties within 24 hours without narcotic pain medication, is already back in the gym, and is thrilled with her results.

Procedure: preservé, breast augmentation

At 3 months post-op, this patient in her late 40s received a Preservé by Motiva breast augmentation with mastopexy with Dr. Tandon. Seeking subtle refinement rather than a larger cup size, she received 190 cc (right) and 150 cc (left) implants to balance her natural asymmetry and restore elegant upper-pole fullness. Her recovery was seamless—returning to normal activities within one week without requiring pain medication. She is thrilled with her natural, proportional results, which will continue to soften and mature over the coming year. As New England’s leader in Preservé breast augmentations, Dr. Tandon tailors every approach to each patient's unique anatomy and goals. Individual results may vary.

Procedure: motiva, breast augmentation

This fitness instructor in her late 40s was very specific with her requests - she wanted her breasts just slightly fuller. She wanted to return to return to teaching physical fitness - both for her job and her sanity. She told us at the 2 week visit, "this is exactly what I asked for." She is shown 1 month post-op and is back to well back to full physical activities, one of the many benefits of  Preservé augmentations, for which Dr. Tandon is an experienced expert. We are so happy for her improved comfort in her body! 

Procedure: breast augmentation, motiva

At just two weeks post-op, this busy mom in her 30s showcases her subtle, natural-looking results from a Preservé by Motiva breast augmentation with Dr. Vickram Tandon. Using Motiva Moderate (Ergonomix Demi) Profile implants (245 cc right and 230 cc left) to restore shape and volume lost over time, her muscle-sparing procedure prioritized minimal downtime. Her recovery was a breeze—she returned to full mom duties within 24 hours without needing strong pain medication, has already hit the gym multiple times, and loves her new look!

Procedure: breast augmenation, motiva

At 6 weeks post-op, this fit, active 28-year-old showcases her subtly enhanced feminine curves from a muscle-preserving subfascial breast augmentation with Dr. Vickram Tandon. Using Motiva Ergonomix 260 cc implants to complement her athletic frame, her procedure was tailored for a natural look without hindering her active lifestyle. Her rapid recovery allowed her to seamlessly get back to high levels of gym activity—and she is already enjoying her perfectly balanced results!

Procedure: breast augmentation, motiva

This active Boston resident in her 20s visited Dr. Vickram Tandon looking to enhance her breast silhouette and fullness without sacrificing a natural, athletic look. Dr. Tandon performed a tailored, muscle-preserving breast augmentation using 340 cc Motiva round, moderate-profile (RSD-340) silicone implants to seamlessly match her frame. Her after-photos showcase beautiful volume, elegant proportions, and a soft, authentic appearance. Having experienced a smooth, comfortable recovery that respects her active lifestyle, she is already enjoying enhanced contours. Her results will look even more natural as the implants continue to settle and soften over time.

What to Expect During Your Consultation 

Your experience begins with a private evaluation of your anatomy, goals, and expectations.

Your surgeon will:

  • Examine your natural breast shape and support structures
  • Review the difference between traditional augmentation and Preservé™
  • Discuss implant sizing, projection, and the role of Ergonomix® technology
  • Help you explore surgical options tailored to your ideal outcome

The goal is complete transparency, comfort, and confidence in your surgical plan.

Procedure Overview

Motiva Preservé™ is performed through a small incision, typically located in the inframammary fold.

Your surgeon then:

  • Creates a delicate tissue channel using the Channel Separator
  • Gradually expands the space with the Balloon system to form an anatomically harmonious pocket
  • Places the Ergonomix® implant through a no-touch insertion sleeve to maintain sterility and precision

Because the technique avoids cutting the pectoral muscle or major support structures, most patients experience less discomfort than with traditional submuscular augmentation.

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Procedure Options Using Motiva Preservé™

Primary Augmentation

For first-time enhancement with a gentle, tissue-preserving method.

Mastopexy-Augmentation

Combines a lift with Preservé™ for patients needing reshaping + volume.

Hybrid Augmentation (Fat Transfer + Implants)

Enhances softness and upper-pole blending using your natural fat.

Recovery & Results

Recovery is generally more comfortable and efficient than with conventional methods. Most patients:

  • Resume light daily activities within a few days
  • Notice early softness and natural implant movement in the first weeks
  • See continued refinement over 6–12 weeks

The final result is beautifully integrated, soft to the touch, and proportionate to your frame, aligning with the BCFPS philosophy of refined, natural-looking outcomes.

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Related Procedures

  • Traditional Breast Augmentation
  • Breast Lift
  • Implant Exchange or Revision

FAQs

How is Preservé™ different from traditional augmentation?

It focuses on preserving natural support structures and avoiding pectoral muscle disruption, reducing trauma and recovery time.

What implants are used?

Only SmoothSilk® Ergonomix® implants, known for their soft feel and adaptive movement.

Is recovery easier?

Most patients report less pain and faster return to daily activities compared to traditional techniques.

When will I see my results?

Early results are visible immediately; final settling typically occurs over 6 to 12 weeks.

Is it covered by a warranty?

Yes—eligible for Motiva’s Woman’s Choice Program® and Always Confident Warranty®.

What are the risks?

Risks are similar to those associated with standard augmentation—such as infection or asymmetry—but the tissue-preserving approach aims to minimize certain complications.

You Deserve a Smarter, More Refined Approach to Breast Augmentation

Motiva Preservé™ brings a new level of refinement to breast augmentation, pairing advanced technology with the clinical insight of a highly trained surgeon. Under the care of Dr. Tandon or Dr. Doherty, patients benefit from a meticulously planned procedure and an environment designed for safety, comfort, and personalization. This approach honors both innovation and individual anatomy, delivering results that are soft, balanced, and beautifully integrated. Contact us today to book your consultation and learn more.

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