Sized to your frame
We measure your chest and breasts and choose the implant together, with sizers, so you can see the change before surgery.
Signature procedure · Lincoln, Nebraska
A minimally invasive augmentation designed to preserve your own breast tissue, with a smaller Motiva implant placed through a short incision. I was the first surgeon in Nebraska to offer it.

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Overview
Preservé is Motiva's tissue-preserving approach to breast augmentation. Instead of creating a large pocket, I make a precise space sized to a smaller implant, through a short incision. The goal is a soft, natural enhancement that fits your frame, with less disruption to the tissue around it.
It suits women who want to look like themselves, only fuller: a subtle change in volume and shape rather than a dramatic one.
Is it right for you?
The procedure
We measure your chest and breasts and choose the implant together, with sizers, so you can see the change before surgery.
A small incision placed where it heals discreetly.
The space is made just for the implant, which preserves more of your natural breast tissue.
FDA-approved Motiva implants with a SmoothSilk surface, inserted with a Keller Funnel so the implant isn't handled directly.
Recovery
Rest at home with light walking. Many patients are back to light daily routines within a few days.
Most people return to desk work.
Exercise resumes gradually, as cleared at your follow-up visits.
The breasts keep softening and settling into their final shape.
Every recovery is individual. You'll leave with a written plan for yours, and you can reach us at (402) 489-4700 at any time.
Results
Results are subtle by design. You see the new shape right away, and it keeps softening over the following months.
At your consultation I'll show you before and after photos of patients with a starting point similar to yours. Individual results vary.
What patients say
Hundreds of reviews from real patients, many of them people I've cared for over months and years.
Cost
Every quote is personal. After your consultation you receive a written estimate that includes the surgeon's fee, the facility and anesthesia, so there are no surprises.
Because this is a cosmetic procedure, it isn't covered by insurance.
Questions
Both place a breast implant. Preservé uses a smaller implant, a shorter incision and a pocket made just for the implant, which preserves more of your own tissue. A traditional augmentation allows larger implants and bigger changes. At your consultation I'll tell you honestly which one fits your goals.
Preservé is designed for a modest, natural enhancement, so it uses smaller implants. If you want a larger change, a traditional augmentation with Motiva implants is usually the better choice.
Yes. I use FDA-approved Motiva implants, and before surgery we go through the FDA patient decision checklist together.
No. Implants are not lifetime devices. Many last for years, but you may need another operation at some point. I'll explain the signs to watch for and the follow-up I recommend.
Many women breastfeed after breast augmentation, but no one can guarantee it. We'll talk about future pregnancies at your consultation.
Yes. Tell the imaging center that you have implants so they can take the right views.
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Consultation
Every plan starts with a one-on-one consultation. We talk through what you'd like to change, examine and measure, and go over options, recovery and cost before you decide anything.
Appointments are scheduled by Prairie Orthopaedic & Plastic Surgery, Dr. Machado's practice in Lincoln.Call
Hours
Monday – Friday, 8:00 am – 4:30 pm
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