The gentle (r)evolution

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Preservé™ Breast Augmentation

Discover your inner natural. With W Clinics.

Locations: Dortmund · Hamburg · Düsseldorf · Wertheim · Waalre

A new generation

Preservé

A fuller bust, without the things that have held you back until now. Motiva's Preservé™ method rethinks breast augmentation – minimally invasive, gentle on tissue, outpatient. A procedure that fits around your everyday life, not the other way round.

What makes Preservé™ different

Preserving tissue instead of cutting through it

The name says it all: preservé means “preserved”. And that is exactly the guiding principle. In a conventional breast augmentation, the implant pocket is created by cutting – through skin, connective tissue and often the chest muscle as well. Preservé™ reverses this approach.

Through an access of only about 2.5 cm in the fold beneath the breast, the tissue is stretched gently and in a controlled way with a special balloon until the pocket for the implant has formed. Muscles, nerves, blood vessels and the supporting ligament structures of the breast are preserved. Which means: less trauma, less pain, significantly shorter downtime.

Loved by our patients: quality from the heart

What our patients say

Recognised for the fifth time in a row: our clinics regularly receive awards from independent review portals. The satisfaction of our patients is our most important benchmark.

Top recommendation 2026
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What's in it for you

Six reasons why women choose Preservé™

Preservé™ does not simply mean “the same operation, only smaller”. The method changes what breast augmentation means for your body – structurally, functionally and in everyday life afterwards.

Less trauma

Gentler on your body

Because muscles, nerves and vessels remain untouched, your body is under less strain from the procedure – with noticeably less pain and a shorter recovery.

Natural sensation

Sensitivity is retained

As no nerve structures are cut, the natural feeling in the breast and nipple is fully retained in most patients.

Stable shape

Your body's own support

The breast's natural ligament structures hold the implant – for a stability that rests not on artificial sutures alone, but on your own anatomy.

Compatible with family plans

Breastfeeding remains possible

Glandular tissue and the nerve structures that supply it remain intact. As a rule, the ability to breastfeed is not impaired by the tissue-sparing technique.

Clinically proven

Very low risk

Clinical data show an implant-related complication rate below one per cent – a hallmark of modern Motiva technology.

Everyday life, not time out

Minimal restriction

Performed as an outpatient procedure, without general anaesthesia being mandatory, with a short recovery – Preservé™ suits an active life with work, family and sport.

Your consultation

Understanding what suits you

No two breasts are the same – and no two wishes. Before we talk about implants, sizes or appointments, we want to know what you really have in mind. In the consultation, our specialists in plastic and aesthetic surgery analyse your anatomy, discuss the suitable options with you and clarify whether Preservé™ is the right choice for you.

Afterwards, you will receive a transparent, no-obligation cost estimate. Everything at your own pace – no time pressure, no sales pressure.

5 locations in Germany and the Netherlands

Preservé™ near you

You can have your Preservé™ consultation at five clinics. Choose your location – booking starts right there.

Certified expertise

Not every doctor is permitted to use Preservé™

Preservé™ is not a procedure that any clinic can offer overnight. Motiva requires treating doctors to hold official Preservé™ certification – demonstrated through theoretical and practical training and a structured examination by recognised experts in the method.

At W Clinics, we work exclusively with specialists in plastic and aesthetic surgery who have completed this certification. This ensures that you benefit not only from the method itself, but also from surgeons who have demonstrably mastered it.

The Motiva Preservé™ concept

Four principles, one result

Motiva developed Preservé™ on the basis of four guiding ideas. Every step of the treatment follows these principles – from the surgical technique to the implant warranty.

01

Preserving anatomy

The natural tissue structures of the breast are preserved. This means less surgical trauma, a natural shape and a familiar sense of your own body.

02

Ensuring stability

The ligamentous support structures hold the implant from within. This reduces the risk of it sinking later and ensures long-term stability of shape.

03

Naturally soft

The SmoothSilk® Ergonomix2® implants used adapt to your movement – soft to the touch, harmonious in appearance, inconspicuous in transition.

04

Providing safety

A low inflammation rate, implant-related complications below 1% and a comprehensive Motiva warranty programme give you peace of mind – before, during and after the procedure.

The procedure

A day of surgery, planned like a good appointment

At W Clinics, the day of your procedure is not a hospital marathon but a structured, calm process. You arrive in the morning, go over all the details once more with your surgeon and are then accompanied to the operating theatre.

The treatment itself usually takes 30 to 45 minutes. You decide on the form of anaesthesia – local anaesthesia with twilight sedation or general anaesthesia – together with the anaesthesia team in advance. After a short recovery phase, you can usually leave the clinic on the same day.

Precision in detail

Three instruments, three steps – one gentle result

At the heart of the Preservé™ method is a system of three single-use Motiva® instruments developed specifically for this procedure. Each has a clearly defined task and works with the tissue, not against it.

01 · Channel Separator

Creating the access

With a 2 cm wide, blunt tip, the Motiva® Channel Separator clears a path through a minimal incision to the future implant pocket. Using a circular rotating movement, it loosens the inner tissue without injuring it – the supporting structures of the breast remain intact.

02 · Inflatable Balloon

Stretching the tissue, not cutting it

The inflatable Motiva® balloon shapes the implant pocket through controlled, gradual expansion. Tissue and ligament structures are pushed radially aside – without cutting, without trauma. The result is a precise 3D space that fits the future implant shape perfectly.

03 · Insertion Sleeve

Safe, sterile, touch-free

The implant is inserted via the sterile Motiva® Insertion Sleeve without coming into contact with skin or gloves. This no-touch technique shortens the operating time, allows smaller incisions and minimises the risk of infection.

Ready for the next step?

Get to know Preservé™ in person

A no-obligation conversation clarifies more than any website. Our specialists take time for your questions, look at your individual situation and assess whether Preservé™ is the right method for you.

No obligation · Discreet · On equal terms

Side by side

Preservé™ vs. conventional breast augmentation

At first glance, both methods seem to deliver the same result: a larger bust. In fact, however, they differ in what happens inside the body beforehand – and that has effects that go far beyond the length of the scar.

Preservé™ and conventional breast augmentation compared
FeatureThe gentle methodPreservé™Conventional methodConventional
Surgical principleTissue stretchingTissue cutting
Chest muscleRemains untouchedMostly cut through
Nerves & vesselsPreservedFrequently injured
Support structuresBody's own ligamentsArtificial pocket
Incision lengthapprox. 2.5 cm4–5 cm
AnaesthesiaLocal, twilight sedation or generalAlmost exclusively general anaesthesia
Ability to breastfeedUsually retainedMay be impaired
SensitivityMostly fully retainedRisk of loss of sensation

Your recovery

What to expect after the procedure

Because no tissue is cut, recovery is usually straightforward. In the first few days, slight swelling and a feeling of tightness are normal, but mostly well tolerated. A support bra helps maintain the shape during the first weeks. The final breast shape develops over several months – after about six months, the result is usually stable.

Your path after the procedure

From the day of surgery to the final check-up

The timeline shows the typical course. Individual variations are possible – your personal recovery may be quicker or more gradual.

  1. Day 0

    The procedure

    Outpatient procedure in 30–45 minutes. You leave the clinic on the same day.

  2. Day 1–2

    Out and about

    Many patients resume their everyday lives. Rest is still advisable, though.

  3. Week 1

    Light exercise

    Walking, light movement and moderate activities are possible again.

  4. Week 2

    First check-up

    Suture knots are removed, and we carry out the first check of your healing progress at our clinic.

  5. 6 months

    Final shape

    The result is usually stable. Second check-up to monitor progress.

  6. 1 year

    Final check-up

    Last routine check-up. After that, we remain available to you.

The implants

Motiva SmoothSilk® Ergonomix2® – the next generation

Preservé™ is only as good as the implant inside it. At W Clinics, we work exclusively with the latest Ergonomix2® implants from Motiva – one of the most internationally renowned manufacturers. These implants combine several proven technologies, each making a specific contribution to a natural, safe result:

  • SmoothSilk® 4-micron surfaceThe fine surface structure promotes biocompatible tissue integration and minimises the risk of capsular contracture.
  • TrueMonobloc+®The robust yet flexible structure prevents friction between gel and shell – for a stable, durable implant shape.
  • ProgressiveGel® UltimaThe ultra-soft gel changes its shape depending on body position – round when lying down, naturally sloped when standing.
  • BluSeal+®A special barrier layer increases the integrity of the implant and supports its durability.
  • Zen® RFID technologyAn integrated chip that can be read non-invasively allows the implant to be identified at any time – including during later MRI scans.

Who is Preservé™ suitable for?

Who benefits most from the method

Preservé™ is aimed at women who want a breast augmentation but cannot or do not want to accept much downtime – active, working women as well as mothers with young children. The procedure is particularly well suited to primary augmentations, i.e. first-time procedures. Women who plan to have children also benefit from the gentle tissue handling, because glandular and nerve structures are largely preserved and the ability to breastfeed is usually not impaired.

Preservé™ is less suitable in cases of very pronounced skin laxity or if a breast lift is planned anyway – other procedures are more appropriate here. Whether the method suits your individual case is something we clarify in your personal consultation, based on your anatomy, your expectations and health factors.

Costs

Transparent, clear, calculated without obligation

The cost of a Preservé™ breast augmentation depends on several factors – including the implant chosen, the form of anaesthesia and your individual circumstances. Flat-rate prices would not be serious here. What we give you instead: a detailed written cost estimate after your personal consultation, with every individual item itemised.

On request, we can also discuss financing options with you through our partner, so that the investment suits your circumstances.

Financing

Also possible in instalments.

Flexible terms through our financing partner – to suit your circumstances.

Example instalmentfrom €175per month

Your questions, briefly answered

FAQ: Preservé™ breast augmentation at W Clinics

How exactly does Preservé™ differ from a conventional breast augmentation?

The key difference lies in how the implant pocket is created. In a conventional breast augmentation, tissue is cut with a scalpel – muscle, connective tissue and often nerve pathways as well. Preservé™ replaces this step with controlled tissue stretching using an inflatable balloon. The result is significantly less trauma, a shorter recovery and the preservation of sensation and support structures.

Is the procedure painful?

You feel nothing during the operation – thanks either to local anaesthesia with twilight sedation or to general anaesthesia. In the days afterwards, most patients report a feeling of tightness and mild pain that can be well controlled with standard painkillers. The difference from the conventional method is often clearly noticeable here, because no muscle or nerve structures have been injured.

Do I need general anaesthesia for Preservé™?

No – one of the advantages of the procedure is that it can also be performed without general anaesthesia. Many of our patients choose local anaesthesia with twilight sedation, a relaxed, sleep-like state under the supervision of the anaesthesia team. General anaesthesia is of course also possible if you feel more comfortable with it.

When can I return to work?

That depends on your job. With an office job, many patients are back at work after 3–5 days. For physically demanding work, we recommend a break of at least two to three weeks. Light exercise is often possible after just one week, intensive training after three to four weeks.

Which implants are used?

Exclusively the latest SmoothSilk® Ergonomix2® implants from Motiva. They are characterised by a particularly soft feel, movement that adapts to the body and integrated Zen® RFID technology, which allows the implant to be identified at any time – including in an MRI scan, without an additional procedure.

Is sensation in the breast retained?

Because no nerves are cut with Preservé™, sensitivity is, as a rule, fully retained. This applies both to sensation in the breast tissue and to the nipple.

Can I still breastfeed after a Preservé™ breast augmentation?

Yes, as a rule the ability to breastfeed is not impaired. The glandular tissue and the nerve structures that supply it are not affected by the tissue-sparing technique. This is why the procedure is also well suited to women who plan to have children.

How visible will the scar be?

The access lies in the natural fold beneath the breast and, at approx. 2.5 cm, is very small. Once fully healed, the scar is barely visible in most patients. Like any scar, it matures over several months and fades over time.

Who is Preservé™ less suitable for?

Preservé™ was developed primarily for first-time procedures. In cases of very pronounced skin laxity, or for patients who also need a breast lift, other procedures may be more suitable. Whether Preservé™ suits you is something we clarify in the consultation, based on your individual anatomy.

How much does a Preservé™ breast augmentation cost at W Clinics?

The costs are made up of various factors: choice of implant, form of anaesthesia, length of stay and individual circumstances. You will receive a reliable cost estimate after your personal consultation – transparent and in writing.

What are the risks?

As with any operation, general risks such as infection, wound-healing problems or bruising can also occur with Preservé™. Implant-related risks – such as capsular contracture – are low thanks to modern Motiva technology and the tissue-sparing technique, but can never be ruled out completely. We discuss all risks with you in detail during your personal pre-operative information consultation.

Personal & no obligation

Your Preservé™ breast augmentation – tailored to your wishes

Talk to our Preservé™ specialists – in person, by phone or by video. Guaranteed no obligation.

Prefer to call? +49 231 54 504 900Mon–Fri 8 am–8 pm · Sat 9 am–3 pm (CET)

Preservé™ at 5 locations in Germany and the Netherlands5 locations

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