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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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At just 6 weeks post-op, this busy professional in her 50s shows off her natural, balanced enhancement after breast augmentation with Motiva Preservé by Dr. Vickram Tandon. Seeking a subtle increase in volume after pregnancy and breastfeeding, she received 205 cc (left) and 220 cc (right) Mini profile implants tailored to her anatomy. She’s already back at the gym and loves how her clothes fit! Dr. Tandon, a board-certified plastic surgeon, Harvard faculty member, and New England’s leading Motiva Preservé provider, offers personalized, natural-looking breast enhancement in Boston.

At just 6 weeks post-op, this patient shows off her beautifully balanced, natural-looking shape after a breast augmentation-mastopexy with Motiva Preservé at Boston Center for Plastic Surgery. Dr. Vickram Tandon used bilateral Motiva Ergonomix2 SmoothSilk® Round Full (ERSF-315) implants to restore volume and shape while prioritizing a soft, natural feel. She’s already back at the gym, loves how soft her breasts feel, and says they’ve never looked better! Her incisions will continue to mature and fade over the coming months.

Procedure: breast augmentation, Motiva Preservé, revision breast augmentation, breast augmentation after mastopexy, upper-pole enhancement, rapid recovery breast augmentation

This patient was dissatisfied with her lack of upper-pole volume and an incompletely filled breast envelope, despite having previously undergone a mastopexy and subsequent attempts at breast fat transfer. Her goals were targeted restoration of upper-pole fullness as well as improved breast shape without substantially increasing her overall cup size. She is shown following her rapid-recovery revision breast surgery with Dr. Tandon which consisted of an advanced Motiva Preservé breast augmentation using ERSD-180 moderate-profile implants. The volume is beautifully restored while preserving a completely natural transition.

Just shy of 1 year post-op, this exceptionally fit woman from Boston is loving how her results complement her muscular physique after breast augmentation with Dr. Vickram Tandon. Following detailed conversations about her goals, they chose 550 cc Motiva Round implants placed in the subfascial plane—a choice that has held up seamlessly through her intense fitness regimen. She's thrilled with how the results fit her frame!

At 2 weeks post-op, this mother in her 40s is already glowing with confidence after her Preservé by Motiva augmentation with Dr. Vickram Tandon. Muscle-preserving and designed for rapid recovery, the procedure was paired with flank liposuction to create a smoother, more refined silhouette. Already back at the gym as swelling continues to settle, she's thrilled with her results—sharing, "I didn't know I could look this good!"

At 2.5 months post-op, this very active patient in her late 20s is thrilled with her subtle, elegant increase in breast volume from her Preservé by Motiva augmentation with Dr. Vickram Tandon. Using Mini (Low) profile implants—205 cc on the right, 185 cc on the left—Dr. Tandon achieved a natural enhancement with zero downtime, letting her stay active throughout recovery. We couldn't be happier for her!

Shown less than 4 weeks post-op, this 31-year-old showcases the results of a Motiva Preservé augmentation with Dr. Vickram Tandon, using demi-profile implants—205 cc on the left, 190 cc on the right—to correct her natural asymmetry. She had good lower-pole volume but was unhappy with the imbalance and lack of upper-pole fullness. We discussed a lift but chose implants alone for a more natural result. She's already back at the gym and says she can barely tell she had surgery!

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!

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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