Preservé may suit you if
- You want one to two cup sizes
- You're happy with the implant above the muscle
- You have enough tissue over the upper breast
- It's your first augmentation
Prefer to talk?
02 8069 8974
Dr Pouria Moradi · Specialist Plastic Surgeon · MED0001185885
Dr Moradi estimates Preservé suits about one in five patients, and he'll tell you plainly if you're not one of them. Individual results vary.
If you’re considering one to two cup sizes, an implant above the muscle and keeping the breast’s supporting ligaments in place, Preservé may be worth discussing.
Preservé in brief
A breast augmentation technique developed with Motiva. The implant sits above the muscle, in a pocket made by balloon expansion rather than cutting.
A small incision placed in the inframammary fold, beneath the breast.
The space for the implant is created by controlled balloon expansion.
The internal support ligaments are left intact around the implant.
The implant sits in the sub-glandular pocket; the chest muscle is not lifted.
How the technique works
Traditionally, cautery separates the gland from the muscle to make the implant pocket. In Preservé, a balloon is inflated beneath the breast tissue instead, pushing it aside so the Cooper's ligaments, the breast's internal supports, stay in place around the implant.
A small incision placed in the inframammary fold, beneath the breast.
The space for the implant is created by controlled balloon expansion.
The internal support ligaments are left intact around the implant.
The implant sits in the sub-glandular pocket; the chest muscle is not lifted.

Dr Pouria Moradi · Surry Hills, Sydney
Who will operate
Dr Pouria Moradi, Specialist Plastic Surgeon (MED0001185885), is registered with AHPRA in Surgery – Plastic Surgery and also operates at Prince of Wales, the Royal Hospital for Women and Sydney Children's Hospital.
Your plan is built from your measurements and tissue, not a preferred implant size. If Preservé isn't right, he'll explain the alternatives.
Disclosure: Dr Moradi is a Key Opinion Leader for Establishment Labs, the manufacturer of Motiva implants, for Australia and Asia-Pacific. In this role he teaches other surgeons and lectures at conferences. He will discuss implant options, including other brands, at your consultation.
Invited to lecture on breast surgery at
Lisbon, Portugal
WSEI Masters, 2023Brazil
Brazilian Aesthetic Society, 2024Seoul, Korea
Evolution SummitBangkok, Thailand
WSEI, 2022Thailand
National Congress, October 2024Cartagena, Colombia
SAPS ConferenceAsia Pacific
Breast Masters Conference, 2024Path to surgery
Consultations are usually available within two to three months, and surgery is usually booked 10–12 weeks after the first consultation. Our team will tell you about any earlier availability.

Australian rules require a GP referral before any cosmetic surgery consultation.
We send a secure link for your photos, so Dr Moradi can review them before you meet.
Examination, suitability, a detailed risk discussion and a surgical plan, then a written, itemised quote.
A second consultation, then at least seven days' cooling-off after informed consent, as Medical Board guidelines require.
Surgery in an accredited hospital, followed by scheduled post-operative reviews with Dr Moradi.
Suitability
It suits about one in five patients. Dr Moradi decides at consultation, after examining you.
Dr Moradi performs these too and will explain your options.
Motiva Ergonomix2, a soft, elastic gel implant. Size and profile are chosen at consultation from your measurements. Like all implants, they are not lifetime devices.

Dr Moradi's estimate is that Preservé suits about one in five of the breast augmentation patients he sees. It's mainly for people who want a modest increase of around one to two cup sizes, are happy for the implant to sit above the muscle, and have enough soft-tissue thickness over the upper breast to cover the implant well. If you want a larger change, have thin upper-breast tissue, need a lift, or already have implants, a different technique is usually more appropriate. Dr Moradi will tell you honestly at your consultation if Preservé isn't the right fit for you, and explain what is.
Both use an implant. The difference is how the pocket for the implant is made. Traditionally, cautery is used to separate the breast gland from the muscle. In Preservé, a balloon device expands the space beneath the breast tissue, pushing the connective tissue aside rather than cutting it, so the Cooper's ligaments are left in place around the implant. In Preservé the implant always sits above the muscle (sub-glandular).
Placing the implant above the muscle means the chest muscle isn't lifted or divided. The trade-offs are real, though. With less tissue covering the implant, rippling or visible implant edges are more likely in people with thin tissue, which is why tissue thickness is part of the suitability check. Implants above the muscle can also obscure more breast tissue on mammograms, so you'll need to tell your radiographer you have implants.
Dr Moradi uses Motiva Ergonomix2 implants for Preservé. Your implant size and profile are chosen from your chest wall measurements and tissue characteristics at your consultation. Dr Moradi is a Key Opinion Leader for Motiva's manufacturer, Establishment Labs, and will discuss other implant options with you too.
As with any breast augmentation, risks include bleeding, infection, scarring, changes in nipple or breast sensation, capsular contracture, implant rupture or malposition, rippling, asymmetry, and the rare lymphoma BIA-ALCL. Breast implants are not lifetime devices, and further surgery to replace or remove them is likely in future. Dr Moradi will go through each one with you at your consultation, and the full list is on his breast augmentation page.
Recovery varies between patients. As a general guide, plan for around one to two weeks off work, avoid heavy lifting for several weeks, and avoid strenuous exercise or upper-body training for at least six weeks. You'll wear a compression bra as directed, and some swelling can take several months to settle fully. Dr Moradi will give you a recovery plan specific to your surgery.
Yes. Australian rules require a referral from your GP before a cosmetic surgery consultation. Consultations are usually available within two to three months, and surgery is usually booked 10–12 weeks after your first consultation. You'll have a second consultation and a cooling-off period of at least seven days before surgery. Breast augmentation is for adults 18 and over.
The cost depends on your surgical plan, so we don't publish a single figure. After your consultation, our patient coordinator gives you a written, itemised estimate covering the surgeon's and surgical assistant's fees, the anaesthetist's fee, hospital costs, the implants, post-operative garments and routine follow-up appointments. Please ask our team about the consultation fee when you call.
Where to find us
Dr Moradi consults at 423 Bourke St. Patients travelling from regional NSW or interstate can ask our team about planning consultations and travel around surgery.
Consultations for Preservé breast augmentation, and for breast augmentation, lift and revision, with Dr Pouria Moradi, Specialist Plastic Surgeon (MED0001185885), in Surry Hills. GP referral required.