For many women considering breast augmentation, the idea of general anesthesia is one of the biggest barriers. Today, that barrier no longer has to exist.

Awake Breast Augmentation with the Preserve Technique represents a major advancement in modern breast surgery—allowing patients to achieve beautiful, natural enhancement without general anesthesia, without cutting breast tissue, and with dramatically faster recovery.

As one of only a few surgeons in the United States certified in the Preserve™ Breast Augmentation technique, Dr. John Burns is proud to offer this innovative approach to patients seeking a safer, gentler, and more intelligent path to breast enhancement.

What Is the Preserve™ Technique?

Preserve Breast Augmentation is a minimally invasive, tissue-preserving approach designed to enhance breast shape while maintaining the breast’s natural anatomy and internal support system.

Unlike traditional augmentation techniques that require cutting through breast tissue or muscle, Preserve uses blunt dissection to gently create space for the implant.

This means:
• No cutting of breast tissue or ligaments
• Minimal bleeding and inflammation
• Preservation of the breast’s natural internal architecture

By placing the implant above the chest muscle, within the natural breast tissue, Preserve creates a soft “nesting” effect that allows the implant to integrate seamlessly with the breast. Implants are positioned slightly higher and more central—enhancing upper pole fullness and cleavage without relying on large implant volumes.

👉 Learn more about the philosophy behind tissue-preserving breast surgery in our blog:
Preserve Breast Augmentation: Smaller Implants, Big Results

The “Awake” Experience: Minimal Anesthesia, Maximum Comfort

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

Instead, Dr. Burns uses a specialized tumescent local anesthetic solution that fully numbs the surgical area. Patients remain comfortable and relaxed throughout the procedure, and light oral or IV sedation may be added for anxiety control if desired.

Benefits of Awake Breast Augmentation:
• No anesthesia “hangover”
• No breathing tube or ventilator
• No nausea or grogginess afterward
• Faster recovery and quicker return to daily life

Many patients are surprised by how calm and comfortable the experience feels—and how quickly they are able to resume normal activity.

Because the Preserve technique places implants precisely where volume is most visually impactful, smaller implants can create a fuller, more sculpted appearance compared to traditional submuscular augmentation.

This results in:
• A softer, more natural look and feel
• Less long-term strain on breast tissue
• Reduced risk of sagging over time
• An athletic, balanced silhouette

This approach aligns perfectly with modern trends toward smaller, natural, proportionate breast enhancement.

👉 Related reading:
Mini Breast Augmentation & the “Less Is More” Trend

Safety Comes First: Accredited Surgical Environment

Although Awake Breast Augmentation is minimally invasive, it is still real surgery and requires the highest standards of sterility and precision.

All Preserve procedures are performed in Dr. Burns’ AAAASF-accredited private surgery center, ensuring:
• Hospital-level safety standards
• Strict infection-control protocols
• Specialized plastic surgery staff
• Optimal outcomes with minimal risk

This controlled environment is essential for delivering consistent, long-lasting, and beautiful results.

If you’re considering breast augmentation but want to avoid general anesthesia, long recovery, and unnecessary tissue trauma, Awake Breast Augmentation with Preserve may be the ideal solution.

📍 Dr. John Burns, MD, PA — Dallas, Texas
📞 214-515-0002📧 info@drjohnburns.com
🌐 www.drjohnburns.com

Schedule your complimentary consultation today and experience the future of breast enhancement.