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What Is Motiva Preservé?

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Motiva Preservé represents a fundamental shift in breast augmentation philosophy. Rather than cutting through the breast tissue and pectoral muscle — as traditional augmentation requires — Preservé uses proprietary instruments to gently separate and preserve the breast's native support structures.The result: your implants are placed in a precisely formed pocket that respects your anatomy. Your breast tissue, chest muscle, and nerve pathways remain intact. This means less pain, less bruising, faster recovery, and a dramatically lower risk of the complications that have long concerned both patients and surgeons.Preservé is paired exclusively with Motiva SmoothSilk Ergonomix implants — the only implants engineered to adapt their shape to your body's natural movement, appearing round when lying down and teardrop-shaped when standing.

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How the Preservé Technique Works

01 | Precision Measurement

Detailed anatomical measurements tailor the surgical plan to your unique breast dimensions and aesthetic goals.

02 | Channel Separation

A specialized Motiva Channel Separator creates a precise tunnel through a small incision — without cutting breast tissue. This provides access to the implant space while maintaining structural integrity.

03 | Gentle Pocket Formation

An inflatable balloon is inserted and gradually expanded, gently moving tissue aside to create a controlled pocket that matches the selected implant dimensions — no sharp dissection required.

04| No-Touch Implant Placement

Your Ergonomix implant is placed through a sterile insertion sleeve with zero direct handling, maximizing sterility and minimizing contamination risk.

Why Choose Preservé Breast Augmentation?

Every element of the Preservé system was designed to deliver results that look, feel, and move like natural breast tissue — with less disruption to your body.

Tissue Preservation

Your breast tissue, pectoral muscle, and support structures remain intact. No muscle cutting means no animation deformity when you flex or exercise.

Faster Recovery

Most patients return to light daily activities within days — not weeks. Reduced surgical trauma means less pain, less swelling, and less downtime.

Smaller Incisions

Typically just 2.5 to 3.5 centimeters, placed in the natural fold beneath the breast for minimal visible scarring.

Natural Movement

Ergonomix implants adapt to your body position — round when lying down, teardrop when standing — mimicking the look and feel of natural breast tissue.

Preserved Sensation

By avoiding disruption to nerve pathways, the Preservé technique enhances the likelihood of maintaining natural nipple sensation.

Long-Term Stability

Clinical data shows 0% inferior malposition at three years — meaning your implants stay exactly where they were placed.

Preservé vs. Traditional Breast Augmentation

Motiva Preservé

Traditional Augmentation

Muscle disruption

None — implant placed above muscle

Muscle often partially or fully cut

Breast tissue

Preserved — balloon dissection

Cut through with sharp instruments

Incision size

~2.5–3.5 cm

~4–5 cm typical

Animation deformity

Eliminated

Common with submuscular placement

Recovery

Days to light activity

Weeks of restricted activity

Post-op pain

Significantly reduced

Moderate to significant

Implant stability (3yr)

0% inferior malposition*

Variable

Capsular contracture (5yr)

<2%*

12–19% (traditional manufacturers)

Your Preservé-Certified Surgeon: Dr. Michael Spann

Dr. Spann is among the first plastic surgeons in Arkansas trained and authorized to perform the Motiva Preservé technique. With offices in both Little Rock and Fayetteville, he brings this next-generation procedure directly to Northwest Arkansas — no need to travel to Dallas, Tulsa, or Kansas City.

  • Double board certified in both General Surgery (American Board of Surgery) and Plastic Surgery (American Board of Plastic Surgery)
  • Preservé-certified — completed specialized training required by Motiva for the Preservé technique
  • Repeatedly recognized as a Top Plastic and Cosmetic Surgeon in Arkansas
  • Founder and director of Little Rock Plastic Surgery, with offices in Little Rock and Fayetteville
  • Extensive experience with Motiva implants and subfascial breast augmentation

"It is important that we, the patient and I, develop a plan that best fits that person's natural figure, expectations, lifestyle, and budget. I believe in fundamental procedures that offer the most lasting outcomes and never forget the fact that we are partners in this venture."

Dr. Michael Spann, MD

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“Best Plastic Surgeon in the Midwest”

Patient Testimonials

“I had such a wonderful experience with Dr. Spann and his entire staff. From start to finish, the care I received was exceptional. Dr. Spann was incredibly thorough throughout the entire process, taking the time to explain everything clearly and answer all my questions. I truly appreciate his professionalism, compassion, and evident passion for his work. His calm and confident approach made me feel completely at ease. I’m grateful to have been under his care and highly recommend him and his team to anyone seeking excellent medical treatment.”

–S., Fayetteville, AR, Plastic surgery patient

“Dr. Spann and the whole team are amazing! Everyone is so kind and welcoming, and they make sure it’s a comfortable experience. Dr. Spann took his time to make sure my surgery turned out perfectly. The results couldn’t be better!”

–K.H., Fayetteville, AR, Plastic surgery patient

“Because I have the BRCA2 gene, I had a mastectomy, and Dr. Spann is doing my reconstruction. He and his staff have been so respectful and compassionate. Despite having complications (my fault, not his), he’s never been anything but compassionate and understanding. I just can’t say enough good things about Dr. Spann. He has a true calling for plastic surgery and really cares about what he’s doing and that it’s done right!!”

–J.M., Fayetteville, AR, Breast reconstruction patient

“I’m currently two weeks post-op from a tummy tuck with a breast lift and breast augmentation, and I couldn't be happier with my decision. Dr. Spann was my only choice—there's no way I’d trust another plastic surgeon. Not only is he board-certified, but his bedside manner is exceptional. I've seen his work firsthand in the OR, and the results truly speak for themselves. I still can’t believe the transformation every time I look in the mirror. If you're hesitating or unsure about whether to move forward with surgery or whom to choose, I wholeheartedly recommend Dr. Spann. Trust me, you won’t regret it. I can't wait to share my before and after photos—and will share them with anyone who asks without hesitation!”

–S.D., Fayetteville, AR, Tummy tuck and breast lift with augmentation patient

“Dr. Spann is professional and caring. He did an excellent job with my surgery. Would highly recommend him if you need his services. The staff was great. I will use him again.”

–C.D., Fayetteville, AR, Plastic surgery patient

“I was very nervous at the thought of having breast reconstruction, but Dr. Spann put my mind at ease and has been with me every step of the process. He answers all of my questions, and he and his staff are always professional and caring.”

–A.G., Fayetteville, AR, Breast reconstruction patient

“Dr. Spann and team are absolutely wonderful. I had wanted a neck lift for a long time, but don't like pain, so I put it off out of fear. Dr. Spann carefully worked out a plan for me that would address my issues while making sure I was comfortable during and after. Dr. Spann is extremely passionate about what he does, so he puts all his effort into assuring your results align with your expectations. He obsesses about every little detail so you will look your best. His team of nurses, Alisha, Nikki, and Claudia, took great care of me prior to my procedure, during, and after. They were helpful and very compassionate in their care. I wouldn't trust anyone else to operate or take care of me.”

–J.W., Fayetteville, AR, Neck lift patient

“From the moment I met Dr. Spann, I was impressed by his professionalism, warmth, and genuine passion for his work. He took the time to listen to my goals, answer all of my questions, and make sure I felt comfortable and confident moving forward. … His eye for detail and dedication to natural yet defined results are what set him apart. He is truly an artist! Dr. Spann provided exceptional care throughout the entire process. I felt supported and genuinely cared for, and I’m so glad that I chose him. I would recommend Dr. Spann without hesitation to anyone considering plastic surgery.”

–A.E., Fayetteville, AR, Plastic surgery patient

“Dr. Spann is amazing! He walked me through everything step by step and answered all 98 questions I had. His staff was so welcoming and always made sure I was comfortable throughout each process. Best plastic surgeon in the Midwest- hands down!”

–M.Y., Fayetteville, AR, Plastic surgery patient

“I recommend everyone here!! You will be in the hands of people who truly care!! I had a scare a little after surgery, and was suggested to go to the ER. Dr. Spann showed up and stayed with me and made sure all was good!!! It ended up being nothing serious at all, I know not all doctors are by their patients' sides like that!! Love them!! 14 mths post op😌”

–J.A., Fayetteville, AR, Plastic surgery patient

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Is Preservé Right for You?

Preservé was designed for patients who want beautiful enhancement while respecting their body's natural anatomy.

You may be an excellent candidate if you:

  • Are considering your first breast augmentation and want the most advanced, tissue-preserving option available
  • Lead an active lifestyle and want to avoid muscle disruption and animation deformity
  • Prioritize natural-looking, natural-feeling results over dramatic size change
  • Want the fastest possible recovery with the least pain and downtime
  • Value preserving nipple sensation
  • Are interested in a "mini augmentation" or natural, athletic breast appearance
  • Are a healthcare professional, fitness professional, or anyone who can't afford extended time away from work
  • Want the smallest possible incision and minimal scarring
  • Care about long-term implant stability — results that last without shifting or "bottoming out"
  • Are at least 22 years old and in good general health

Frequently Asked Questions

Traditional breast augmentation typically requires cutting through breast tissue and often the pectoral muscle to create space for the implant. Preservé uses a completely different approach — a specialized channel separator and inflatable balloon gently move tissue aside without cutting, creating a precise pocket that preserves your breast's natural support structures, muscle, and nerve pathways. The result is less pain, faster recovery, and more natural long-term results.

Most Preservé patients experience a noticeably faster and more comfortable recovery compared to traditional augmentation. Many return to light daily activities within a few days. Because no muscle is cut, the intense chest tightness and pain associated with submuscular placement is largely eliminated. Final results continue to refine over six to twelve weeks as the implants settle into their optimal position.

Motiva SmoothSilk Ergonomix implants are the next generation of breast implants, engineered to adapt their shape to your body's position — appearing round when you're lying down and naturally teardrop-shaped when standing. They feature a proprietary SmoothSilk nanotextured surface designed to reduce inflammation and capsular contracture rates. Ergonomix implants have received FDA approval and are backed by extensive clinical data demonstrating low complication rates.

Ergonomix implants are specifically designed to mimic the look, feel, and movement of natural breast tissue. Combined with the tissue-preserving Preservé technique and above-the-muscle placement, the result is breasts that move naturally with your body — without the telltale signs of traditional implants such as animation deformity when flexing. Dr. Spann works closely with each patient to select the ideal implant size and projection for their unique anatomy and goals.

Dr. Spann sees Preservé consultation patients at our Northwest Arkansas office at 3733 N Business Dr in Fayetteville. During your consultation, Dr. Spann will evaluate your anatomy, discuss your goals, and develop a personalized surgical plan. Contact our office to schedule your consultation at the Fayetteville location.

The total cost of Preservé breast augmentation depends on several factors including implant selection, surgical complexity, anesthesia, and facility fees. Because Preservé uses premium Motiva implants and specialized instruments, it is positioned as a premium procedure. We encourage you to schedule a consultation with Dr. Spann to receive a personalized quote. Financing options may be available through CareCredit and other providers.

Dr. Spann is among the first plastic surgeons in Arkansas to complete the specialized training required for Preservé certification. With a dedicated office in Fayetteville, patients from across Northwest Arkansas — including Bentonville, Rogers, Springdale, Siloam Springs, Bella Vista, and beyond — can access this next-generation procedure without traveling to Dallas, Tulsa, or out of state. His double board certification and decades of experience make him uniquely qualified to deliver exceptional Preservé results.

Ready to Learn More About Preservé?

Meet with Dr. Spann at our Fayetteville office to discuss your goals, evaluate your candidacy for Preservé, and develop a personalized surgical plan — all in a comfortable, confidential setting.