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2026.08.08
What Is Presabe? An Easy-to-Understand Explanation of Its Expected Effects, Benefits, and Drawbacks
Under the philosophy of 'Science & Art,' our cosmetic surgeons always prioritize what is best for the patient in their practice. Drawing from experience as a cardiovascular surgeon, we apply advanced techniques grounded in deep anatomical understanding to aesthetic medicine. We also pursue artistic sensibility to enhance each individual's unique features. Renowned for calm, reassuring consultations, we specialize in liposuction, breast augmentation, double eyelid surgery, and anti-aging treatments. With scientific evidence and proven techniques, we guide patients toward realizing their ideals.
Presave is a breast augmentation procedure that preserves as much breast tissue as possible and involves inserting a silicone implant under the mammary gland using specialized instruments.
Presave is a breast augmentation procedure that involves inserting silicone implants while minimizing the strain on the breast’s natural tissues, such as muscles, nerves, and blood vessels. Many people likely have questions such as, “How is this different from standard silicone implant breast augmentation?” and “What about scarring and recovery?”
At BIANCA CLINIC, we determine the appropriate treatment method by considering not only the desired size but also the patient’s skeletal structure, breast tissue, and any asymmetry between the left and right sides. In this article, we explain how Presave works, its effects, benefits, and precautions from a physician’s perspective.
What kind of treatment is Presabe?
Presave is a breast augmentation procedure that uses a specialized balloon to create space beneath the mammary gland and insert an implant while taking care to preserve breast tissue.
A mechanism that uses a specialized device to spread breast tissue
Preservé™ is a silicone implant breast augmentation procedure that utilizes a breast tissue-preserving technique developed by Motiva®. An incision of approximately 2.5 cm is made in the lower part of the breast, and a specialized balloon is inserted beneath the breast gland.
A key feature of this technique is that it uses a balloon to radially expand the tissue, creating the space needed to insert the implant. Rather than performing extensive dissection, the goal is to minimize the strain on muscles, nerves, and blood vessels as much as possible.
The Motiva Smooth Silk Ergonomics 2® implant is inserted into the created space using a specialized sleeve. Because it is placed subglandularly, this surgical technique minimizes interference with the movement of the pectoralis major muscle, making it easier to achieve natural movement and a natural feel.
▶Presabe (Silicone Implant Breast Augmentation) Procedure PageWe also have a video that demonstrates the tools and methods we use. Please take a look.
There are three main options for breast augmentation surgery
Breast augmentation procedures can be broadly categorized as follows:
Silicon bag breast augmentation
A Method for Restoring Volume Through Implant Placement
Fat Transfer Breast Augmentation
A method of injecting fat harvested and processed from the patient's own body into the breasts
Hybrid Breast Augmentation
A Method Combining Silicone Implant Breast Augmentation and Fat Grafting
Presave is a type of silicone implant breast augmentation. It differs from fat grafting and hybrid breast augmentation in terms of the materials used, the volume it is best suited for, scarring, and downtime.
The most suitable method depends on factors such as the desired size, the condition of the skin and breast tissue, and the amount of fat that can be harvested.
What Bianca Clinic Values Most in Patient Care
At Bianca Clinic, we assess not only breast size and shape but also asymmetry, skin elasticity, and the condition of breast tissue, and we recommend treatments tailored to each individual.
While our clinic employs physicians who have completed the Presave course and are committed to training other doctors, the final outcome is not determined solely by certification or surgical techniques. During the consultation, we align your desired design with what is medically feasible, explain the risks and postoperative course, and then determine whether Presave is the right option for you.
What kind of results can I expect from Presave?
With Presabe, you can aim to increase breast volume, correct asymmetry, and achieve a natural silhouette; however, results may vary from person to person.
The main changes you can expect with Presave are as follows:
- Breast Enlargement
- Adjusting Breast Asymmetry and Shape
- Natural appearance and movement
- A finish designed to ensure implant stability
Add volume to the bust
With Presabe, silicone implants are inserted subglandularly; unlike fat grafting, this procedure allows for volume enhancement proportional to the implant size. It is a procedure that can accommodate requests such as “I want to go up two cup sizes or more.”
However, choosing a larger implant does not necessarily guarantee an ideal result. It is important to select the size based on factors such as body type, rib cage structure, skin elasticity, and balance with the natural breast tissue.
Correcting asymmetry and shaping the bust line
Based on the results of your examination, we can consider adjustments to address asymmetry—such as selecting different sizes or shapes for the left and right sides. Additionally, by positioning the breast tissue so that it envelops the implant, we can achieve a smooth silhouette.
Aiming for natural movement and a natural feel
The Smooth Silk Ergonomics 2® used in the Preserve procedure is an implant designed with flexibility and natural movement in mind. Another appealing feature of Preserve is that placing the implant subglandularly helps minimize unnatural movement.
On the other hand, the texture and appearance can vary depending on factors such as subcutaneous fat, the thickness of breast tissue, and the size of the implant. It’s important to understand that the results will not be the same for everyone.
What are the pros and cons of Presabe?
While Presabe offers a natural-looking result and can increase cup size by two or more, this procedure is not available to individuals who have previously undergone breast augmentation surgery.
The Benefits of Presave
- A relatively small incision scar, about 2.5 cm long
- Allows for consideration of the strain on breast tissue and the pectoralis major muscle
- Recovery tends to be relatively quick
- Allows you to achieve a natural silhouette and movement
- You may want to consider combining this with a breast lift or fat transfer.
With the Presave method, a specialized balloon is used to gently expand the necessary area, thereby minimizing tissue damage and inflammatory reactions as much as possible. As a result, recovery tends to be relatively faster compared to conventional breast augmentation surgery.
Another advantage is that, since the incision is located under the bust, it is hidden by the breast and therefore less noticeable.
If you need to address sagging or contouring issues, we can also combine a breast lift with fat grafting. Please feel free to consult with us about any concerns you may have beyond simply adding volume.
Disadvantages and Risks of Preserved Flowers
- For those undergoing breast augmentation surgery for the first time
- It is a surgical procedure that involves an incision.
- Pain, swelling, and bruising may occur.
- There is a risk of hematoma, infection, capsular contracture, and tightness.
- Results and recovery times may vary from person to person.
Presabe is not available to patients who have previously undergone breast augmentation surgery. If you are seeking revision surgery or an implant replacement, we will recommend an alternative surgical procedure.
Furthermore, even surgical procedures designed to minimize the burden on the body cannot completely eliminate the risk of complications. Since risks vary depending on factors such as your physical constitution, medical history, and medications you are taking, it is important to accurately disclose your health status during your consultation.
Frequently Asked Questions
We answer common questions from people considering breast augmentation.
Q. How long does a silicone implant breast augmentation procedure take?
A. The Presave procedure typically takes about 30 to 40 minutes. We primarily use intravenous anesthesia, but depending on your condition and preferences, we can also consider local or general anesthesia.
Q. How long is the recovery period after the Presave procedure?
A. Pain typically peaks about two days after surgery and tends to last for about a week. Since the extent of swelling and bruising, as well as the time it takes to resume daily activities, varies from person to person, be sure to plan your schedule with plenty of flexibility after surgery.
Q. What kind of aftercare is needed following silicone implant breast augmentation?
A. After the procedure, you will need to wear a breast support band for about one week. You will also need to come in for follow-up visits the day after the procedure, one week later, and at other specified times thereafter.
Q. Can I undergo PresaBe even if I’ve had breast augmentation surgery in the past?
A. As a general rule, Presabe is intended for individuals undergoing breast augmentation surgery for the first time. If you have previously undergone fat grafting or silicone implant breast augmentation, please consult your doctor about other options.
Q. Can I still get a breast cancer screening after undergoing breast preservation surgery?
A. You can undergo ultrasound and X-ray exams, but please inform the staff that you have dental implants before the exam. Since mammograms involve compressing the breasts firmly, please check with the screening facility in advance to confirm whether you can undergo the exam.
▶Presabe (Silicone Implant Breast Augmentation) Procedure Page
▶Bianca Clinic Counseling Reservation Form
