Preservé™ breast surgery is a new breast surgery method with Tissue Preservation as its core concept. While conventional breast surgery focused on securing space for the implant, Preservé aims to proceed with the surgery while maximally preserving crucial structures such as breast tissue, blood vessels, nerves, and ligaments.

Recently, the importance of minimally invasive surgery and tissue preservation has been emphasized throughout the medical field, and Preservé was developed in line with this trend. U&U Plastic Surgery continuously researches related surgical techniques through overseas Preservé education programs and participation in international conferences, placing a high value on the patient’s recovery process and tissue protection.

General breast surgery requires a process of dissecting tissue to create space for the implant. In contrast, Preservé focuses on forming the space while minimizing tissue damage as much as possible.

From the patient’s perspective, there is often a high interest in Preservé due to concerns about pain, recovery time, and the naturalness of movement. However, what is more important than simply the name ‘Preservé’ is how meticulously the medical team handles the tissue, and U&U Plastic Surgery also highly values the principles of tissue preservation.

Once our body’s tissues are damaged, it is difficult for them to completely revert to their original state. Since important structures like blood vessels, nerves, and ligaments exist around the breast tissue, it is crucial to reduce unnecessary damage.

Preservé includes the concept of proceeding with surgery while maximally preserving these tissues, which is why it is called tissue-preserving breast surgery. Recently, as more patients value long-term tissue health and natural movement over simply increasing size, interest in this approach is growing.

Because Preservé is a surgical concept designed to minimize tissue damage, many patients expect reduced discomfort during the recovery process. This is because less tissue damage can potentially lead to reduced inflammatory responses and swelling.

Of course, the speed of recovery varies from person to person, and not every patient experiences the same recovery process. However, as many patients recently prioritize “how quickly they can return to their daily lives,” interest in Preservé is increasing.

Because Preservé proceeds in a way that reduces tissue damage and muscle irritation, there are cases where a reduction in pain can be expected. In fact, some patients feel that the burden of returning to daily life after surgery was relatively low.

However, pain is highly subjective and varies greatly depending on an individual’s constitution, pain sensitivity, and the scope of the surgery. Therefore, it is more accurate to understand it not as “painless,” but as “a surgery that aims to reduce pain through tissue preservation.”

While the conventional method relied on a concept of securing implant space through extensive dissection, Preservé focuses on forming the necessary space while minimizing tissue damage. To achieve this, dedicated instruments and specific surgical techniques are utilized.

The core is not how large the space is made, but how safely the space is formed while preserving the tissue. Therefore, the experience and proficiency of the medical team can play a very important role.

Since Preservé prioritizes reducing unnecessary tissue damage, efforts are made to maximally preserve the muscle and surrounding structures. However, the approach may vary depending on the patient’s anatomical structure and surgical plan.

Breast surgery is not a one-size-fits-all procedure; it is important to establish a customized plan based on body type and tissue condition. Therefore, the exact method will be determined through consultation and examination.

Currently, Preservé is often introduced in conjunction with Motiva implants. Motiva Ergonomix, in particular, is gaining attention from patients who value natural movement and tissue compatibility.

However, what creates good results is not the implant itself, but a selection tailored to the patient’s body type and an accurate surgical plan. At U&U Plastic Surgery, the appropriate implant for the patient is determined through preoperative consultation and examination.

Although Preservé is currently often mentioned alongside Motiva, the core of Preservé lies not in the implant brand itself, but in the philosophy of tissue preservation. In other words, the more critical concept is which tissues to preserve and how to minimize damage.

From the patient’s perspective, it is easy to focus solely on the implant brand, but the actual results can be significantly influenced by the medical team’s experience and surgical approach.

Preservé is a surgical concept developed through joint research between the Motiva group and European breast surgery experts. Recently, it has been gaining attention at international conferences as a new paradigm for tissue-preserving breast surgery.

U&U Plastic Surgery continuously researches related surgical techniques through training at Motiva headquarters in Costa Rica, attendance at conferences in Singapore, and domestic and international Preservé education programs, striving to provide patients with safer and more natural surgeries.

The surgical time for Preservé breast surgery can vary depending on the patient’s body type, surgical plan, and implant size. Rather than simply shortening the surgical time, it is more important to perform the surgery accurately while safely preserving the tissue.

For breast surgery, the entire process—including anesthesia, recovery, and follow-up observation—is important, not just the surgery itself. At U&U Plastic Surgery, a customized surgical plan is established for each patient through preoperative examinations and consultations.

Because Preservé is a surgical concept designed to minimize tissue damage, it often aims for a relatively small incision. However, the incision length can vary depending on the implant size, body type, and surgical method.

What matters more than the incision length itself is how safely the tissue is handled. Accurate surgery and safety must take precedence over unconditionally making a small incision.

Many patients worry about scars when considering Preservé. While the incision length may be relatively short, the final appearance of the scar can vary depending on constitution, skin characteristics, and the recovery process.

For scarring, aftercare is just as important as the surgical method. At U&U Plastic Surgery, we also monitor the scar recovery status through regular postoperative follow-ups.

If the patient’s condition is stable, returning home on the same day is often possible. Recently, with the development of surgical concepts that reduce the burden of recovery, an increasing number of patients prioritize a quick return to daily life over hospitalization.

U&U Plastic Surgery operates a ONE-FLOW system, designed so that consultation, examination, surgery, and recovery can proceed in a single seamless flow. Furthermore, after surgery, patients are managed so they can return home after taking sufficient rest in a private recovery space.

The timing for returning to work can vary depending on the type of occupation and recovery status. In the case of office work with minimal physical activity, some patients expect a relatively quick return.

However, for jobs requiring prolonged use of the arms or physical labor, a more sufficient recovery period may be needed. It is advisable to determine the exact return timing by checking the postoperative condition.

Routine activities like light walking can be started relatively quickly, but upper body exercises or weight training should proceed gradually after the tissue has stabilized.

Advancing the exercise schedule too much can affect the recovery process, so it is important to adjust the exercise intensity according to the medical team’s guidance. In particular, exercises that heavily use the chest muscles should be approached with caution.

While overseas travel itself is not prohibited, the recovery status must be carefully considered immediately after surgery. Long-haul flights, in particular, can increase swelling and fatigue.

If your surgery schedule overlaps with travel plans, it is best to consult in advance to make a proper plan. At U&U Plastic Surgery, we guide patients on postoperative management plans taking their schedules into account.

Breast implants are not damaged by changes in cabin pressure. Therefore, boarding an airplane is rarely a problem in itself.

However, since you are in the recovery process immediately after surgery, you should consider the fatigue and swelling associated with long hours of travel. If you have an important schedule, it is advisable to consult in advance before the surgery.

Immediately after surgery, it is common to wear a recovery bra or a compression bra recommended by the medical team instead of a regular bra. This is to aid in stabilizing the implant position and tissue recovery.

The timing to switch to regular underwear may vary depending on your recovery status. Therefore, it is important to follow the instructions of your medical team rather than relying on internet reviews.

In the past, massage was widely recommended after breast surgery, but recently, the approach varies depending on the surgical method and implant characteristics. Because Preservé prioritizes tissue stabilization and preservation, unconditional massage is not necessary.

In fact, excessive self-massage can negatively affect tissue recovery. Postoperative management should always be carried out according to the guidance of the medical team who performed the surgery.

Postoperative swelling is a natural part of the recovery process. Initially, the breasts may feel larger and firmer than they actually are, but they will gradually stabilize over time.

Although recovery speeds vary among patients, it takes a certain amount of time for the swelling to completely subside and for the breasts to settle into a natural shape. Therefore, it is not advisable to judge the final result solely on the initial appearance.

The timing for showering can vary depending on the condition of the incision site and the recovery process. Generally, it is done according to the medical team’s guidance after the wound has stabilized.

Caution is needed, as forcefully exposing the wound to water for extended periods or irritating it can negatively affect the recovery.

Initially, it is often recommended to sleep with your upper body slightly elevated. This is because it can help reduce swelling and aid recovery.

Sleeping on your stomach or in a position that puts pressure on your chest should be avoided during the early stages of recovery. It is important to follow the medical team’s instructions regarding the correct posture after surgery.

Because alcohol can affect blood vessel dilation and increase swelling, caution is required during the early stages of recovery. It can particularly impact wound healing and inflammatory responses.

For a better recovery, maintaining abstinence from alcohol for a certain period is highly recommended.

Smoking decreases blood circulation, which can hinder wound healing. It can also affect the speed of tissue recovery and scar formation.

As Preservé is a surgery that highly values tissue preservation, quitting smoking before and after the surgery is one of the most critical management factors.

Being skinny does not mean Preservé is impossible. In fact, for patients with thin skin and subcutaneous fat, minimizing tissue damage and maintaining natural movement is even more crucial, making them often very interested in the Preservé concept.

However, implant selection and surgical planning are even more critical for skinny body types. Rather than unconditionally using a large implant, planning a balanced design that considers skin thickness and tissue condition can contribute to long-term satisfaction.

Having plans for childbirth does not necessarily mean you have to postpone breast surgery. However, you should consider that breast tissue changes may occur during future pregnancy and breastfeeding.

Because Preservé is a surgical concept that emphasizes tissue preservation, a consultation that takes future breast tissue changes into account is important. The appropriate timing for surgery will be determined based on the patient’s lifestyle and plans.

After childbirth and breastfeeding, a decrease in breast volume and skin laxity often occur together. Many patients consider Preservé during this time.

Since the condition of the breasts after childbirth varies greatly from person to person, it is important to accurately assess whether simple augmentation is needed or if a lift is also required. At U&U Plastic Surgery, we establish an appropriate surgical plan through ultrasound examinations and clinical evaluations.

In cases of mild sagging, improvement can be expected simply by restoring volume. However, if the sagging is severe, Preservé alone may not be sufficient, and a mastopexy (breast lift) may need to be considered together.

The important thing is to accurately analyze the current state of the breasts. The surgical method may vary depending on the cause and degree of sagging.

Revision surgeries are often much more complex than initial surgeries. Therefore, Preservé cannot be applied identically to all revision cases.

However, the philosophy of Preservé—to maximally preserve existing tissue and reduce additional damage—can hold significant meaning in revision surgeries as well. The actual feasibility will be determined after evaluating the state of the capsule and the extent of tissue damage.

If capsular contracture is present, the state of the capsule and the degree of tissue deformation must be evaluated first. If the contracture is severe, treating the contracture may be the priority.

While Preservé is a surgical concept that emphasizes tissue preservation, it is not applied equally to all contracture patients. Establishing an appropriate treatment plan after an accurate diagnosis is the most important step.

It may be possible depending on the patient’s body type and surgical plan. An axillary incision has the advantage of not leaving a direct scar on the breast area.

However, the incision method should be determined based on the patient’s anatomical structure and goals rather than the Preservé concept itself. Which incision method is most suitable will be decided through consultation.

The inframammary fold (under-breast) incision is currently one of the most widely used methods worldwide. It has the advantage of providing excellent visibility and being applicable to various surgical plans.

Preservé can also be performed using an inframammary incision depending on the patient’s condition, and what matters more than the incision location is how much tissue is preserved during the surgery.

A periareolar incision involves cutting along the border of the areola, which has the advantage that the scar may be relatively unnoticeable. However, applicability can vary depending on the size of the areola and anatomical conditions.

Since Preservé is not a surgery limited to a specific incision method but a surgical philosophy based on the concept of tissue preservation, selecting the incision method that best suits the patient’s condition is vital.

An endoscope can be used if necessary. An endoscope provides a magnified field of vision, helping to confirm anatomical structures more meticulously.

In the Preservé concept, which values tissue preservation, securing a clear surgical field can be an important factor.

Preservé is a surgical concept that minimizes tissue damage and prioritizes natural movement. Therefore, the surgical plan is established with the goal of achieving a natural feel as well.

However, the feel can vary depending on the implant type, skin thickness, existing tissue volume, and the recovery process.

One of the reasons Preservé gains attention is its natural movement. The method of preserving tissue incorporates the concept that it can help the breasts react more naturally when moving.

However, results can vary depending on the patient’s tissue condition and surgical plan, and not all patients experience the same outcome.

With any breast surgery, there is a possibility that tissue changes may occur over time. Therefore, it cannot be said that Preservé guarantees complete immunity from all potential issues.

However, making efforts to reduce tissue damage and create a tissue-friendly environment is meaningful for considering long-term stability.

Capsular contracture is known to be caused by a complex interaction of various factors, including constitution, inflammatory responses, bacterial contamination, and bleeding. Therefore, it cannot be said that one surgical method alone can completely prevent contracture.

However, efforts to reduce tissue damage and improve the surgical environment are often evaluated positively in terms of long-term stability.

Infection is influenced by various factors, such as the operating room environment, the medical team’s surgical skills, and the patient’s recovery status. Preservé also pursues a direction that protects tissues and reduces unnecessary damage.

U&U Plastic Surgery places importance on infection prevention through positive pressure operating rooms, the Dry Pocket concept, the use of Keller Funnels, and preoperative and postoperative ultrasound examinations.

Preservé is a surgical concept that prioritizes minimizing tissue damage. Therefore, various methods to reduce bleeding and tissue irritation during the surgical process may be considered together.

The Dry Pocket is one of the surgical principles aimed at keeping the space where the implant is inserted as clean and stable as possible. U&U Plastic Surgery also highly values tissue preservation and surgical environment management, performing meticulous hemostasis and tissue care.

A Keller Funnel is a medical device used to reduce direct contact with the skin when inserting an implant. Currently, it is widely utilized in many breast surgeries worldwide.

Because Preservé places great importance on maximally protecting tissue, the utilization of such auxiliary devices can hold significant meaning. U&U Plastic Surgery also prioritizes tissue and implant protection during the insertion process.

Because breast surgery uses implants, managing the surgical environment is very important. A positive pressure operating room can help maintain a cleaner environment by reducing the influx of outside air.

Preservé is a concept that goes beyond simply preserving tissue; it values the safety of the entire surgical process. U&U Plastic Surgery also considers operating room environment management to be a critical element of surgery.

Breast surgery is not simply about increasing size, but begins with accurately understanding the current state of the breasts. An ultrasound examination can help identify cysts, fibroadenomas, and breast tissue condition.

At U&U Plastic Surgery, we check the patient’s breast health status through a preoperative breast surgical examination. This is one of the steps taken to establish a safer surgical plan.

Management does not end simply because the surgery was successful. Since changes in the implant and tissue can occur over time, regular check-ups are important.

In particular, ultrasound examinations can be helpful in checking the condition of the tissue surrounding the implant. U&U Plastic Surgery places importance on long-term follow-up observation after surgery.

Preservé can be considered for patients who want to reduce the burden of recovery or who place high value on tissue preservation. Also, patients who prioritize natural movement and feel often show interest.

However, it is not applied identically to all patients, and suitability may vary depending on body type and tissue condition.

Not all patients are good indications for Preservé. In situations involving severe contracture, extensive tissue damage, or complex revision surgeries, other surgical strategies may be more appropriate.

The important thing is not to insist on a specific surgical method, but to choose the method best suited to the patient’s condition. Therefore, accurate diagnosis and consultation are necessary.

Recently, the medical community has been emphasizing not only the surgical results but also the importance of the recovery process and tissue preservation. Minimally invasive surgery is advancing in various fields like orthopedics and general surgery, as well as plastic surgery.

Preservé is a tissue-preserving breast surgery concept that emerged amidst this trend. It is gaining a lot of attention in that it is not merely a surgery to make things bigger, but a surgery that respects the tissue.

Once tissue is damaged, it is difficult to restore it to its original state. Therefore, preserving the tissue as much as possible from the first surgery can hold significant meaning from a long-term perspective.

Considering future management or the possibility of revision surgery, a tissue-friendly approach can be helpful to the patient. For these reasons, Preservé is sometimes evaluated as a surgical philosophy rather than just a simple technique.

Rather than just checking the name Preservé, it is important to confirm how well the medical team actually understands the concept of tissue preservation. It is also advisable to look at their surgical experience, operating room environment, and aftercare system.

U&U Plastic Surgery continuously researches related surgical techniques through training at Motiva headquarters in Costa Rica, attending conferences in Singapore, and participating in domestic and international Preservé education programs. Furthermore, we operate a ONE-FLOW system, breast surgical ultrasound examinations, positive pressure operating rooms, and private recovery spaces, placing importance on the entire process before and after surgery.