Gustavo Machado, MDAesthetic Plastic Surgery

Signature procedure · Lincoln, Nebraska

Motiva Preservé breast augmentation

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.

Motiva Preservé breast augmentation with Dr. Gustavo Machado

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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?

Preservé may be right for you if

  • You want a natural, proportional enhancement rather than a dramatic size change
  • You have little or no sagging (if the nipple sits low, a lift may be the better plan)
  • You value a quicker return to your routine
  • You are in good general health and don't smoke, or are ready to stop

The procedure

How I perform Preservé

01

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.

02

A short incision

A small incision placed where it heals discreetly.

03

Tissue-preserving pocket

The space is made just for the implant, which preserves more of your natural breast tissue.

04

No-touch technique

FDA-approved Motiva implants with a SmoothSilk surface, inserted with a Keller Funnel so the implant isn't handled directly.

Recovery

What recovery usually looks like

  1. First days

    Rest at home with light walking. Many patients are back to light daily routines within a few days.

  2. About one week

    Most people return to desk work.

  3. A few weeks

    Exercise resumes gradually, as cleared at your follow-up visits.

  4. Three months on

    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

What to expect

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.

4.9Google rating

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.

Get your personal quote

Questions

Frequently asked questions

How is Preservé different from a traditional augmentation?

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.

How big can I go with Preservé?

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.

Are Motiva implants FDA approved?

Yes. I use FDA-approved Motiva implants, and before surgery we go through the FDA patient decision checklist together.

Do breast implants last forever?

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.

Can I breastfeed after Preservé?

Many women breastfeed after breast augmentation, but no one can guarantee it. We'll talk about future pregnancies at your consultation.

Will I still be able to have mammograms?

Yes. Tell the imaging center that you have implants so they can take the right views.

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Dr. Machado explainsWhat is Motiva Preservé?

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Dr. Machado explainsPreservé vs. traditional augmentation

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Patient caseA Preservé consultation

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Dr. Machado explainsThe Ballerina Look

Consultation

Let's talk about your goals.

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

(402) 489-4700

Office

4130 Pioneer Woods Drive, Suite 1
Lincoln, Nebraska 68506

Hours

Monday – Friday, 8:00 am – 4:30 pm

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@machadoplasticsurgeon

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