Awake Breast Augmentation with the Preserve Technique

By Dr. John Burns, Board-Certified Plastic Surgeon – Dallas, Texas

For many women, the idea of general anesthesia can be one of the biggest barriers to breast augmentation. Now, thanks to Preserve Breast Augmentation, there’s a better way.

Awake Breast Augmentation with the Preserve Technique allows patients to achieve beautiful, natural results without the risks or downtime associated with general anesthesia. It’s a revolutionary advancement in cosmetic breast surgery — gentle, precise, and patient-focused.

What Is the Preserve Technique?

Preserve Breast Augmentation is a minimally invasive, tissue-preserving technique that enhances the breast while maintaining its natural anatomy and support.

Unlike traditional methods that involve cutting through breast tissue or lifting the chest muscle, Preserve uses a blunt dissection technique to create space for the implant.

This means:
• No cutting of supportive ligaments or breast tissue
• Minimal bleeding or trauma
• Preservation of natural internal architecture

By placing the implant above the muscle, within natural breast tissue, Preserve creates a gentle “nesting effect.” The result is soft, natural fullness and elegant shape — without distortion or animation deformity.

💡 Related: Preserve Breast Augmentation: Smaller Implants, Big Result

The “Awake” Experience: Minimal Anesthesia, Maximum Comfort

One of the most exciting advantages of the Preserve technique is that it can be performed without general anesthesia.

Instead, Dr. Burns uses a specialized tumescent solution — a local anesthetic that numbs the surgical area completely.

Patients stay comfortably awake or lightly sedated throughout the procedure.This allows for a virtually pain-free experience while maintaining full relaxation and safety.

Because general anesthesia isn’t needed, patients benefit from:
✅ Faster recovery
✅ No anesthetic “hangover”
✅ No breathing tubes or ventilators
✅ No post-procedure nausea or grogginess

Most patients wake up alert, comfortable, and ready to return home soon after surgery.

Safe, Sterile, and Precise

Even though Preserve is minimally invasive, it’s still a sophisticated surgical procedure that demands precision, experience, and the highest level of sterility.

Dr. Burns performs all Preserve augmentations in his AAAASF-accredited surgical suite, ensuring:

• Hospital-grade sterilization
• Experienced plastic-surgery-specific nursing staff
• Controlled, private, and safe environment


This level of care minimizes risk while maximizing outcomes — blending artistry with absolute safety.

💡 Related: Preserve Breast Augmentation: Faster Recovery, Natural Results

Dr. John Burns performing Awake Breast Augmentation with the Preserve technique in his AAAASF-accredited Dallas surgery center.

Why Awake + Preserve Is a Game Changer

Combining the Awake experience with the Preserve technique offers women a transformative new way to approach breast enhancement.

The benefits include:
✅ No general anesthesia required
✅ Minimal bleeding and no cutting of breast tissue
✅ Smaller implants for natural results
✅ Faster recovery and minimal pain
✅ Enhanced upper pole and cleavage fullness
✅ Maintained structural support and lift
✅ Ideal for active women seeking a gentle, rapid recovery

“Awake Preserve surgery gives my patients complete control and comfort,” says Dr. Burns.“It’s a modern, empowering way to enhance their figure with confidence.”

Designed for the Modern Woman

Modern, active woman representing natural results and fast recovery after Awake Breast Augmentation using Preserve technique.

For women balancing fitness, family, and full schedules, Awake Breast Augmentation with Preserve offers everything they’re looking for:

• Natural beauty without overcorrection
• Gentle recovery without downtime
• Confidence without compromise

Preserve is the future of breast enhancement — created for the modern woman who expects more from her surgery and her surgeon.

Schedule Your Consultation

Dr. John Burns MD, and Laura Stelk, DNP- Dallas Nurse Injector.png__PID:f0c3cd8d-821d-4f40-83aa-1fc4e2207847

If you’ve been curious about breast enhancement but hesitant about anesthesia or downtime, Awake Breast Augmentation with the Preserve Technique may be the solution you’ve been waiting for.

📍 Dr. John Burns, MD, PA – Dallas, Texas
📞 Call: 214-515-0002
📧 Email: info@drjohnburns.com
🌐 Visit: www.drjohnburns.com

As one of the only surgeons in the U.S. certified in the Preserve method, Dr. Burns delivers the perfect balance of comfort, safety, and artistry.

Schedule your complimentary consultation today and discover how Awake Preserve Breast Augmentation can help you achieve your goals — naturally, confidently, and beautifully.

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