
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.

Your breast tissue, pectoral muscle, and support structures remain intact. No muscle cutting means no animation deformity when you flex or exercise.
Most patients return to light daily activities within days — not weeks. Reduced surgical trauma means less pain, less swelling, and less downtime.
Typically just 2.5 to 3.5 centimeters, placed in the natural fold beneath the breast for minimal visible scarring.
Ergonomix implants adapt to your body position — round when lying down, teardrop when standing — mimicking the look and feel of natural breast tissue.
By avoiding disruption to nerve pathways, the Preservé technique enhances the likelihood of maintaining natural nipple sensation.
Clinical data shows 0% inferior malposition at three years — meaning your implants stay exactly where they were placed.
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) |
"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


You may be an excellent candidate if you:
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.
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.