Preservé® vs Traditional Breast Augmentation (Blog Banner)
Posted in Breast on April 12, 2026

For many women researching breast enhancement, the most important question is not simply “How much bigger will I be?” but rather, “What is the most refined, natural, and least disruptive way to achieve the result I want?” 

"That is where Preservé® breast augmentation stands apart from traditional breast augmentation techniques."

A. Traditional Breast Augmentation

Traditional breast augmentation can produce beautiful results, but it often involves more disruption of the natural tissues of the breast. In many conventional approaches, the surgical pocket is created through more direct dissection, which may place greater stress on internal support structures. 

Traditional breast augmentation may also involve breast incisions that leave visible scars on or around the breast, depending on the technique used.

B. Preservé® Breast Augmentation 

By contrast, Preservé® breast augmentation is designed around a tissue-preserving philosophy. Rather than aggressively cutting through tissue, the procedure uses specialized technology to gently create the implant space in a more controlled and less traumatic way. 

According to the Preservé® procedural materials, the system is intended to preserve native breast tissue functionality, including nipple sensation and chest muscle integrity, while minimizing disruption of the natural support structures of the breast.  Unfortunately Preserve’ is not an option for everyone. 

Who is a Candidate for Preservé® Breast Augmentation?

Preservé® breast augmentation is NOT for everyone. It is ideal for women who are seeking:

  • First-time breast augmentation who seek small implants and have naturally tight breast skin
  • Natural-looking and natural-feeling results
  • Minimal scarring, especially no breast scars
  • A less invasive surgical experience
  • Faster recovery compared to traditional techniques
  • Preserve’ IS NOT for women who have larger breast, loose skin or want larger implants. 

The best way to determine if you are a candidate is through a personalized consultation with Dr. Ennis.

About Transaxillary Breast Augmentation

Another major difference is the incision approach. When Dr. Ennis performs transaxillary breast augmentation, the incision is hidden in the underarm rather than placed on the breast. For the right candidate, this means you can enjoy breast enhancement with no visible scars on the breast itself, which is one of the most appealing benefits of this approach. 

This can be done with both the traditional breast augmentation technique and Preserve’ technique of augmentation. 

Transaxillary endoscopic Breast Augmentation Sientra ModPlus Gel R485_ L435 Before and After Ennis Plastic Surgery Palm Beach Boca Raton Destin Miami Fort Lauderdale

35yo 5'4" 125lb 34B Transaxillary endoscopic Breast Augmentation Sientra ModPlus Gel R485_ L435

transaxillary breast augmentaiton scar Miami, Boca Raton, Fort Lauderdale

Endoscopic Breast Augmentation Scar

Motiva SmoothSilk Ergonomix® implants

The implant selection also plays an important role. Preservé® is paired with Motiva SmoothSilk Ergonomix® implants, which are designed to mimic the natural shape and movement of the breast.

These implants are described as adapting to body position, appearing fuller when lying down and more teardrop-shaped when standing, helping create a softer and more natural result.  

Traditional implants can also look excellent, but not all are designed with this same adaptive behavior.

Recovery Process - Traditional vs Preservé

Recovery is another area where patients may notice a meaningful difference. Because Preservé® is intended to reduce tissue disruption, many patients are drawn to it for the potential of a smoother recovery and less post-operative discomfort compared to more conventional techniques. The Preservé® materials specifically describe it as a less invasive approach designed to support faster post-procedure recovery.

Most importantly, the choice is not simply about new technology versus old technology. It is about selecting the right surgeon and the right technique for your body, your goals, and your long-term result.

At Ennis Plastic Surgery, Dr. L. Scott Ennis combines advanced implant technology with his recognized expertise in transaxillary breast augmentation and minimally invasive surgery.

Dr. Ennis is consistently voted one of the best plastic surgeons in Florida, known for natural-looking results and highly specialized minimal-incision techniques of the face, breast, and body. If you want to learn more, book an online or in-office consultation with Dr. Ennis today.

Breast Augmentation Before & After

Actual patient photos of Dr. Ennis. View all breast implant before and after photos.

Quick Comparison: Preservé® vs Traditional Breast Augmentation

Feature Preservé® Breast Augmentation Traditional Breast Augmentation
Surgical philosophy Tissue-preserving, less invasive More conventional tissue dissection
Incision option Can be performed with transaxillary underarm approach More commonly breast-based incisions
Visible breast scars No breast scar possible with underarm approach Often some scar on or near the breast
Tissue disruption Designed to minimize disruption Typically more tissue disruption
Implant technology Motiva SmoothSilk Ergonomix® Varies by implant type
Natural movement Designed to mimic natural breast movement Varies by implant and technique
Recovery experience Intended to support faster recovery Often more traditional recovery pattern

Summary: Preservé® vs Traditional Breast Augmentation

If you are comparing breast augmentation options in Boca Raton, it is important to understand how Preservé® breast augmentation differs from traditional breast augmentation. While both procedures can enhance breast volume and shape, Preservé® is designed around a more tissue-preserving and minimally invasive philosophy.

Traditional breast augmentation has been used successfully for many years and can still produce beautiful results. However, it often involves more direct surgical dissection to create the implant pocket and commonly uses an incision placed on or near the breast. By contrast, Preservé® uses specialized tools designed to gently create the implant space while preserving important natural breast structures. When performed by Dr. Ennis using the transaxillary technique, the implant can also be placed through a small incision hidden in the underarm, which means there is no scar on the breast itself.

Preservé® is also paired with Motiva® SmoothSilk Ergonomix® implants, which are designed to mimic the natural look, feel, and movement of the breast. For many patients, this combination offers a more refined and modern approach to breast enhancement.

Why Patients Choose Dr. Scott Ennis

Choosing among the top breast augmentation options in Boca Raton also means choosing the right surgeon. Dr. Ennis is not only known for his technical skill, but also for his artistic eye and personalized care. Ennis Plastic Surgery describes the brand voice and patient experience as elegant, expert, and personalized. 

Dr. Ennis has also been consistently recognized as one of the top plastic surgeons in Florida, with distinctions including:

  • Castle Connolly Top Doctor
  • Women’s Choice Award for Best Doctors
  • Palm Beach Illustrated Top Doctor
  • RealSelf Top 100 & Verified Expert
  • Top 10 Plastic Surgeon – National Academy of Plastic Surgeons

For patients seeking a surgeon in Boca Raton who specializes in natural-looking breast augmentation and advanced transaxillary breast implant placement, these distinctions reinforce the level of experience and trust behind the practice.

Ennis South Florida Gold Winner Sun Sentinel 2026 v1

To book a consultation click here or call 561-405-9020.

Choosing Ennis Plastic Surgery for Preservé and Traditional Breast Augmentation

The best breast augmentation option depends on your anatomy, your goals, and the technique that is best suited to your body. Dr. L. Scott Ennis is known for his expertise in Preservé transaxillary breast augmentation and for delivering natural-looking results using advanced breast enhancement methods in Boca Raton.

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An artist's eyes, surgeon's hands and gentle touch.

Dr. L. Scott Ennis uses his natural talent as a scientist and as an artist to create an individualized treatment plan to address each patient's unique concerns providing natural looking results.

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