Preservé Breast Augmentation: Dr. Daniel Gould Featured in Allure

Beverly Hills plastic surgeon Dr. Daniel Gould, MD, PhD was featured in Allure discussing the emerging Preservé breast augmentation technique, a new tissue-preserving approach to breast implants designed to create natural-looking results with minimal disruption to breast anatomy.

The article explores how the Preservé technique, developed alongside Motiva SmoothSilk Ergonomix implants, aims to preserve ligaments, nerves, and blood vessels within the breast while delivering modest volume enhancement. Unlike traditional breast augmentation, which often involves surgical dissection to create an implant pocket, Preservé uses specialized tools and balloon-assisted expansion to gently separate tissue along natural anatomical planes.

According to Dr. Gould, this preservation-focused philosophy represents a shift in how surgeons approach breast augmentation. Rather than significantly altering the anatomy of the breast, the technique aims to work within natural tissue planes to support implant placement while maintaining breast structure and function.

The procedure typically involves:

• A small incision in the breast fold
• Balloon-assisted tissue separation rather than traditional surgical dissection
• Placement of Motiva SmoothSilk Ergonomix implants
• Implant positioning above the chest muscle
• Use of local anesthesia with sedation rather than general anesthesia

Because the surrounding breast structures remain largely undisturbed, patients may experience less swelling, reduced discomfort, and a faster recovery timeline compared to traditional breast augmentation techniques.

Dr. Gould notes that Preservé is best suited for patients seeking a subtle enhancement rather than dramatic size increases, typically one to two cup sizes. Many candidates are individuals who want to restore volume lost after pregnancy, weight changes, or aging while maintaining a natural breast appearance.

While early results are promising, surgeons emphasize that long-term clinical data is still developing. As with any surgical procedure, patients should consult with a board-certified plastic surgeon to determine whether this approach is appropriate for their anatomy and aesthetic goals.