Motiva® Preservé™
at PURE Plastic Surgery
A gentler, tissue-sparing approach to breast augmentation
Breast augmentation has evolved. For the right patient, it is now possible to enhance volume and shape without cutting through the muscle or disrupting the natural support structures of the breast. Motiva Preservé is a tissue-preservation approach to breast augmentation designed for women who want subtle, natural-looking results with smaller incisions and a faster recovery.
At PURE Plastic Surgery in Miami, Florida, double-board-certified plastic surgeons Dr. S. Alexander Earle, Dr. Natalia Vidal and Dr. Garrett Wegerif are among an elite group of providers trained to perform this technique, giving qualified patients a gentler, low-impact alternative to traditional breast augmentation.
What Is Motiva Preservé?
Motiva Preservé is a tissue-preservation approach to breast augmentation that keeps your natural anatomy fully intact. That means breast tissue, ligaments, nerves, and muscle are all preserved. The result is a faster recovery, a natural feel, and an implant that works with your body rather than against it.
Fewer than 100 surgeons across the entire United States are trained to perform Motiva Preservé, and PURE is one of a handful of practices in Miami to offer it. Dr. Earle is a Sulàyöm graduate, which means he has visited the Motiva headquarters in Costa Rica to complete specialized, in-person training at the Sulàyöm Global Learning Center.
How Is Motiva Preservé Different Than Traditional Breast Augmentation?
Traditional breast augmentation requires general anesthesia, larger incisions and electrocautery to create the implant pocket, along with insertion typically under or partially under the pectoral muscle (although for the right patient, over-the-muscle placement is possible). Because the chest muscle and tissues are disrupted, recovery tends to be longer, with most patients taking several weeks off from strenuous exercise or activities to heal.
Preservé takes a fundamentally different approach. Here's how the two compare:
What Implant Is Used With Preservé?
Motiva Preservé uses the SmoothSilk® Erognomix implant, which is a super soft implant with a natural look and feel. It’s also highly flexible, allowing it to be inserted through smaller incisions with less disruption to the surrounding tissues, making it ideal for a low-impact breast augmentation technique like Preservé. Ergonomix also incorporates BluSeal® technology and a TrueMonobloc® shell for added confidence and peace of mind.
How Does Motiva Preservé Work?
Motiva Preservé is performed through a small incision and involves no cutting through muscle, no cautery to create the breast pocket, and no destruction of the natural ligaments of the breast. Instead, it uses proprietary tools and a gentler, three-step approach to breast augmentation. Here’s how the Motiva Preservé system works:
- Channel Separator: The Motiva Channel Separator creates a precise pathway through the breast tissue, rotating in a circular motion to reduce trauma.
- Inflatable Balloon: A balloon-like expander creates the implant pocket by gently elongating the tissues without damaging the surrounding structures.
- Insertion Sleeve: The Motiva Insertion Sleeve is a no-touch funnel delivery system that allows the implant to be placed through small incisions.
The no-touch technique is one of the primary reasons this procedure has such a low capsular contracture rate and almost no chance of infection. “Motiva has the lowest capsular contracture rate on the market," Dr. Earle notes. "Less than 1%. And that has to do with their shell, their micro-texture, and of course, being able to place the implant through that no-touch technique."
Am I a Good Candidate for Motiva Preservé?
Preservé is designed for first-time breast augmentation patients who want natural-looking results. The ideal candidate has minimal sagging (grade zero to one ptosis), wants modest volume in the 150–300 cc range, and prioritizes a fast return to an active lifestyle.
"This is meant for very active women who just want a little bit of extra volume and that beautifully enhanced, natural look," Dr. Earle explains. “All you active moms, dancers, gym-goers and yoga enthusiasts who want to get back to everything quickly, this is for you.”
You may be a strong candidate if you:
- Want subtle enhancement, particularly in the upper pole and cleavage area
- Are active and don’t want a procedure with extended downtime
- Prefer to avoid general anesthesia
- Have firm breast skin without significant drooping
- Want results that feel and move like natural breast tissue
Preservé is not the right fit if you want to go from an A cup to a D cup, already have large breasts, or need a breast lift. During your consultation, we’ll review your goals and anatomy to determine if Preservé or a traditional breast augmentation is the right match for you.
How Is Motiva Preservé Performed?
Motiva Preservé follows a precise three-step process, all performed through a single 2.5 cm incision in the inframammary fold (the natural crease beneath the breast).
Step 1: Channel Creation. Dr. Earle inserts a blunt-tipped channel separator through the incision. Without cutting through the nerves, ligaments, muscle or breast tissue, the channel separator creates a path above the muscle, exactly where the implant needs to go.
Step 2: Pocket Formation. Next, a specialized balloon device is inserted into the channel. Dr. Earle inflates the balloon to match the planned implant volume, gently expanding the tissue to create a precisely sized pocket. Again, nothing sharp, and no cautery or heat. Once the pocket is formed, the balloon is deflated and removed.
Step 3: Implant Placement. A super-soft Motiva Ergonomix implant is placed using a no-touch technique. The implant goes directly from its sterile packaging into the funnel, reducing the risk of capsular contracture, infection and other complications. The Ergonomix implant is used because it’s compressible enough to be inserted through the tiny incision.
From start to finish, Preservé breast augmentation takes approximately 20–30 minutes to complete and is performed under sedation. That means you can return home and start your recovery without the lingering effects of general anesthesia slowing you down.
Ask the Experts: PURE Surgeons Debunk Motiva Preservé Myths
Motiva Preservé works for all patients.
You need general anesthesia for any breast augmentation.
Any surgeon can do this technique.
What Is Recovery Like After Motiva Preservé?
One of the biggest differences between traditional breast augmentation and tissue-preserving techniques like Preservé is the recovery process. Because every structure in the breast is preserved, pain is minimal, and you’ll get back to normal activities faster. Most patients can expect some version of the following timeline after surgery.
Day of Procedure
Most patients are up and moving the same day with little pain or discomfort. In Costa Rica, Dr. Earle saw a Preservé patient have surgery at 10 a.m. and attend a social event later that same evening.
Days 1-7
Mild soreness and swelling may be present. Most patients manage comfortably with over-the-counter medications. No drains, and light daily activities can be resumed immediately.
Week 2
Most patients are cleared to resume all activities (including weightlifting, swimming and yoga) after two weeks.
Weeks 3-6
Healing is mostly complete, but the implants continue to settle. Patients start to notice and appreciate their final breast shape around this time.
Weeks 6-12
Final results are visible. The Ergonomix implant, known for its ultra-soft feel, provides a beautiful, athletic, and naturally enhanced look.
Does Motiva Preservé Interfere
With Breastfeeding or Sensation?
In most cases, no. The goal of Preservé is to preserve your anatomy as much as possible. Because it protects nerve pathways and creates a pocket with minimal disruption of glandular tissue, it has a much lower risk of impacting sensation and the ability to breastfeed.
Why Do Patients Choose PURE for Motiva Preservé?
New techniques attract attention fast, especially in Miami. But attention is not the same thing as trust, and not every practice adopts a new approach with the same level of scrutiny. Patients choose PURE for Motiva Preservé because they know our team evaluates new techniques carefully, putting patient safety at the forefront of everything we do.
- Sulàyöm-Certified: Dr. Earle didn’t learn Preservé from a webinar. As a Sulàyöm graduate, he trained directly at Motiva headquarters in Costa Rica, working with the team that developed the techniques and instruments behind Preservé.
- Thoughtful Innovation: Dr. Earle and the PURE team don’t adopt the latest techniques just because they’re new. They evaluate what’s better based on clinical data and long-term outcomes. Here, innovation has to clear a high bar of safety and results.
- Joint Commission-Accredited Facility: Even a 20-minute procedure under sedation deserves an operating environment held to the highest standards. PURE's surgical facility is accredited by the Joint Commission, the same benchmark applied to major hospitals.
Frequently
Asked Questions
How much does Motiva Preservé cost in Miami?
What size implants can be used with Preservé?
Is there an age requirement for Motiva Preservé?
What type of implant is used?
How soon can I travel after the procedure?
Can I get Preservé if I've had a prior breast augmentation?
Can out-of-town patients travel to Miami for this?
I just had my procedure with Dr. Earle, I did an extensive search to find nothing but the best Dr. Earle. He is knowledgeable, caring and professional, the entire team made my experience very smooth and pleasant. From the first call and afterwards; I felt reassured I have chosen an excellent practitioner. The results were beyond my expectations and they took care of details I’ve never experienced before with other surgeons. You are in good hands with Dr. Earle and his entire team, excellent care and results!!! Thank you !!!
Best customer service. Everyone from the office was so welcoming and friendly. From the first initial phone call with Rose up until the procedure she was so helpful and caring. Yeni performed Aveli on me and she was the best. She was very caring and very informative. She always made sure I was comfortable and feeling no pain. You can’t go wrong with choosing Pure Plastic Surgery!
Dr. Earle and his staff were very accommodating and really made you feel at ease. I WOULD HIGHLY RECOMMEND.
Amazing place to have your plastic surgery! Thank you so much Pure Plastic Surgery for such a great experience. From the initial consultation to post-surgery follow-ups, the entire experience was top-notch. Dr. Garret Wegerif expertise and professionalism put me at ease, and the outcome exceeded my expectations. Thanks to all the team for checking up on me every day….. you are the best!
