A Tissue-Preserving Option Backed by Vanderbilt-Trained Expertise

Dr. Kent "Kye" Higdon has spent more than 14 years refining breast surgery techniques, including over a decade as a faculty member and fellowship director at Vanderbilt University Medical Center. That depth of experience is why Higdon Plastic Surgery evaluated Preservé closely before adding it to the practice's breast augmentation options. The goal is straightforward: give appropriately selected patients in Franklin a technique that disrupts less of their natural breast anatomy while still achieving a subtle, proportionate augmentation.

What Is the Preservé Technique?

The Motiva Preservé technique is an approach to breast augmentation designed to preserve as much of the breast's natural anatomy as possible.

Unlike traditional breast augmentation, which often requires more extensive surgical dissection to create an implant pocket, Preservé uses specialized instruments to gently create space for the implant.

Preservé is designed to:

  • Minimize disruption to the breast's ligaments, nerves, and blood vessels
  • Avoid cutting through the pectoralis muscle by placing the implant above it
  • Use the Motiva SmoothSilk Ergonomix implant, selected for its soft, natural feel
  • Add modest volume, typically about one cup size, rather than a dramatic increase

Benefits of Preservé

  • Smaller incisions than many traditional breast augmentation approaches
  • Reduced disruption to the breast's ligaments, nerves, and blood vessels
  • Placement above the pectoralis muscle, avoiding disruption to the muscle itself
  • A procedure designed to support a quicker, more comfortable recovery
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Am I a Candidate for Preservé?

Preservé is best suited to patients undergoing a primary breast augmentation, meaning their first time having breast implant surgery, including those also considering a lift at the same time.

Because the technique is designed around gentle tissue expansion, it typically works best for patients seeking a modest augmentation of about one cup size rather than a significant increase in volume. A traditional technique may better serve patients hoping for a larger augmentation.

While Preservé represents a significant advancement in breast augmentation technology, it is not the ideal choice for every patient. A comprehensive consultation with Dr. Higdon or Dr. Wetzel is essential to determine whether this technique is a good fit for a patient's anatomy, lifestyle, and aesthetic goals.

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Why Choose Higdon Plastic Surgery for Preservé?

Dr. Higdon is double board-certified by the American Board of Plastic Surgery and the American Board of Surgery, and his expertise in breast surgery was a key reason he was chosen to found and direct Vanderbilt's Breast and Body Contouring Aesthetic Plastic Surgery Fellowship. Dr. Wetzel completed an Aesthetic Society-endorsed fellowship with focused training in breast surgery decision-making and fine-tuned surgical adjustments. Together, this team brings the judgment needed to determine which patients are genuinely good candidates for a tissue-preserving technique like Preservé, rather than applying it universally.

What to Expect Before, During, and After

Consultation

During consultation, Dr. Higdon or Dr. Wetzel will take detailed measurements of the breast to determine whether the Preservé technique and a patient's anatomy are a good match, and to confirm the Motiva SmoothSilk Ergonomix implant size that will achieve the desired, modest change in volume.

The Procedure

After numbing the treatment area, a small incision is made in the inframammary fold, and the specialized Preservé instruments are used to create a tunnel and gently expand the implant pocket without cutting through the surrounding tissue. The Motiva SmoothSilk Ergonomix implant is then placed into the space created above the pectoralis muscle.

Recovery

Because Preservé is designed to disrupt less of the breast's natural structure than traditional dissection techniques, patients undergoing this approach may experience a smoother, quicker recovery, though individual healing timelines still vary.

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Learn More About Preservé

A tissue-preserving technique is only as good as the judgment behind it. Dr. Higdon and Dr. Wetzel carefully evaluate each patient's anatomy and goals before recommending Preservé, since the technique is designed for a specific result: modest, natural-looking augmentation with minimal disruption to the breast. Patients who want a larger change or whose anatomy calls for a different approach will hear that directly during the consultation rather than being steered toward a technique that isn't the right match.

Schedule a consultation with Higdon Plastic Surgery in Franklin, TN, to discuss whether Preservé fits your goals.

Preservé Tissue-Preserving Breast Augmentation FAQs

Is Preservé right for every breast augmentation patient?

No. Preservé is designed for patients undergoing a primary breast augmentation, with or without a lift, and works best for those seeking a modest volume increase of about one cup size. A consultation is necessary to confirm candidacy.

What implant is used with Preservé?

Preservé uses the Motiva SmoothSilk Ergonomix implant, chosen for its soft feel and natural movement.

How much size increase can I expect with Preservé?

Preservé is designed to add modest volume, typically about one cup size. Patients seeking a larger increase may be better suited to a traditional augmentation technique.

How is Preservé different from traditional implant placement?

Preservé uses specialized instruments to gently create the implant pocket, aiming to preserve more of the breast's ligaments, nerves, and muscle than traditional dissection methods, while accommodating a smaller range of implant sizes.

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