Everyone is talking about the Preservé breast augmentation, a technique heavily marketed across the United States for its promise of preserved tissue, smaller scars, and faster recovery. The problem for Canadian patients is simple: Preservé and its associated Motiva devices are not yet available in Canada. The good news is that you don’t need to book a plane ticket south of the border. At Waltho Plastic Surgery in Burlington, Dr. Daniel Waltho is already delivering on every promise of the Preservé technique through precise subfascial breast augmentation.
Table of Contents
What Is Preservé Breast Augmentation?
Preservé is a “preservation” breast augmentation technique developed by Motiva that aims to minimize surgical impact on the natural breast. It pairs Motiva SmoothSilk Ergonomix implants with proprietary tools to place an implant while sparing native tissue.
The technique is built around four core marketing promises:
- Preserving breast tissue and ligaments
- Avoiding muscle disruption by keeping the implant off the chest muscle
- Small scars, often around a 3 cm inframammary incision
- Early recovery with less pain and quicker return to activity
To do this, the surgeon numbs the area with tumescent solution, uses a channel separator through a small crease incision, then inflates a balloon tool to gradually push tissue aside and create a pocket for the implant. It’s designed for subtle enhancement of one to two cup sizes, using implants up to roughly 315 cc.
The Catch: Preservé™ by Motiva® Isn’t Available in Canada Yet
Despite the buzz, the Preservé system and the specific Motiva devices it relies on are not approved and available for use in Canada. That leaves Canadian patients with two options: travel abroad and spend thousands on out-of-country surgery and follow-up, or find a proven, locally available alternative that achieves the same goals. This is exactly where our subfascial breast augmentation comes in.
How Subfascial Breast Augmentation Delivers the Same Promises
A subfascial breast augmentation places the implant beneath the fascia, the thin but durable layer of connective tissue covering the chest muscle, rather than under the muscle itself. Because the muscle is left undisturbed, patients typically experience less postoperative pain and a quicker, more comfortable recovery. In Dr. Waltho’s hands, this technique already fulfills each of Preservé’s four pillars:
| Preservé promise | How subfascial augmentation at Waltho delivers it |
|---|---|
| Small scars (≈3 cm) | Dr. Waltho targets a 3–3.5 cm inframammary incision, and with small-volume implants often aims for 3 cm or shorter |
| Preserving breast tissue & ligaments | Dissection is performed under direct visualization, protecting the inframammary fold and surrounding structures |
| Avoiding muscle disruption | The implant sits under the fascial covering, over the muscle, sparing the chest muscle entirely |
| Early recovery, less pain | Muscle-sparing placement means faster, more comfortable recovery, well documented in subfascial patients |
The Key Difference: Direct Visualization vs. Blind Balloon Dissection
The most important distinction is how the tissue is preserved. The Preservé technique often creates its pocket blindly, by inflating a balloon to push structures aside. Dr. Waltho’s subfascial approach is performed under direct visualization, so he knows exactly where he is at every moment. He dissects precisely over the inframammary fold fascial convergence, protecting that critical support structure, and carefully separates tissue beneath the fascial covering of the muscle. This preserves the muscle, breast tissue, and ligaments with controlled accuracy rather than relying on indirect balloon expansion.
The result is a recovery so smooth that Dr. Waltho often finds himself negotiating with patients to avoid doing too much too early, because they feel so good in the first postoperative days. Taking the time to heal properly is what protects those preserved tissues and safeguards long-term results.
Who Is a Candidate?
Preservation-style augmentation, whether Preservé or subfascial, is best suited to patients seeking a natural enhancement of roughly one to two cup sizes with smaller-volume implants, and those who prioritize quick recovery and minimal scarring. The only way to confirm the technique is right for your anatomy and goals is a personal consultation, so get in touch with our team to get started.
Before You Book a Flight, Book a Consultation
You don’t have to leave the country to get the benefits everyone is talking about. Dr. Daniel Waltho is a board-certified plastic surgeon serving Burlington, Hamilton, and Oakville, and breast augmentation consultations are complimentary at his clinic.
- Clinic: Appleby Plastic Surgery, 5045 Mainway, Unit 110, Burlington, Ontario L7L 5H9
- Phone: (905) 315-1711
- Hours: Monday to Friday, 8 AM – 5 PM
Contact us today to find out whether the precise subfascial breast augmentation we’re already performing in Canada is the right option for you.
