Breast augmentation is evolving — rapidly and intelligently. As surgical techniques advance, more patients are seeking natural results, faster recovery, smaller incisions, and minimal disruption to their anatomy.

One of the most significant innovations shaping today’s breast surgery landscape is Preservation Breast Augmentation — an advanced approach that refines traditional augmentation by protecting the breast’s natural structures, minimizing trauma, and producing long-lasting, beautifully harmonious results.

While Preservation Breast Augmentation is not identical to the minimally invasive PRESERVE™ technique, it is closely aligned in philosophy. Both focus on tissue preservation, atraumatic dissection, and strategic implant placement, making the procedure gentler, more predictable, and more natural-looking than many conventional techniques.

As a national leader in advanced breast surgery, Dr. John Burns was among the earliest adopters of preservation-based augmentation concepts in the United States — and remains one of the top surgeons in North Texas for Motiva® implants and modern subfascial breast enhancement.

What Is Preservation Breast Augmentation?

Preservation Breast Augmentation is an anatomy-conscious approach that focuses on protecting the breast’s native support system — including its ligaments, fascia, and tissue architecture.

The goal is simple:

✨ Enhance the breast — without disrupting the breast.

By creating a precise, controlled implant pocket while preserving internal support, this technique offers:
• A more natural result
• Faster recovery
• Minimal pain and trauma
• Long-lasting shape and stability

Preservation techniques pair exceptionally well with Motiva Ergonomic® implants, known for their soft, adaptive movement, advanced biocompatibility, and ultra-smooth SilkSurface® technology.

Below are the key benefits patients experience with this modern approach:

1. Faster Recovery & Quicker Return to Activity

Less tissue disruption = dramatically less soreness.
Most patients return to:
• Light activity within days
• Exercise and lifting much sooner than with submuscular augmentation

This is especially ideal for fitness-focused women.

2. No Animation Deformity

Because the implant is placed in the subfascial plane (above the muscle, beneath the fascia), the pectoral muscle remains intact.

This means:
• No distortion when flexing
• No breast movement during workouts
• A more stable and natural appearance

3. Natural, Harmonious Shape

Preservation techniques focus on creating a controlled, anatomically respectful pocket.

You can expect:
• Soft, natural feel
• Balanced upper-pole fullness
• Stable cleavage
• Long-term shape retentionMotiva Ergonomic® implants further enhance this natural look.

4. Preservation of Breast Ligaments & Support

The circummammary ligaments remain intact — providing the breast’s natural “internal suspension.”

This reduces:
• Lateral drift
• Bottoming-out
• Premature sagging

You get longer-lasting, supported results.

5. Predictable, Long-Term Implant Position

A hallmark of preservation surgery is the tight, precision-engineered implant pocket, which “hugs” the implant and keeps it centered with exceptional stability.

6. Smaller Incision (Approximately 2.5 cm)

Because of specialized tools and techniques borrowed from PRESERVE™, patients enjoy:
• Minimal scarring
• Cleaner access
• Faster healing

7. More Biocompatible Implants

Motiva Ergonomic® implants offer:
• Natural, adaptive movement
• Reduced inflammation
• Lower capsular contracture rates
• Soft, organic feel during activity

Motiva technology is one of the reasons preservation techniques deliver such natural-looking outcomes.

How Preservation Breast Augmentation Is Performed

Here’s what makes the preservation approach uniquely effective:

1. Subfascial Pocket Creation

The implant sits beneath the fascia, offering natural coverage while keeping the muscle unaltered — preventing distortion and reducing pain.

2. Limited Dissection

Only essential tissue is opened.Your natural architecture and support ligaments remain intact.

3. Tight, Controlled Pocket

The pocket is engineered with extreme precision to hold the implant centered and stable.

4. Superior & Medial Placement

Strategic placement enhances:
• Cleavage
• Upper-pole fullness
• Youthful projectionLateral dissection is minimized.

5. Minimal Incision (2.5 cm)

Specialized instruments allow for safe, controlled access with a tiny incision.

6. Motiva Ergonomic® Implant Selection

Each implant is selected for:
• Ideal feel
• Dynamic responsiveness
• Natural motion
• Long-term safety

A National Leader in Modern, Preservation-Based Breast Surgery

Dr. John L. Burns, MD
• Board-Certified Plastic Surgeon
• 25+ Years of Experience
• Newsweek Best Plastic Surgeons in America
• Texas Monthly SuperDoctors
• D Magazine Top Plastic Surgeons
• National leader in Motiva implant technology
• One of the first U.S. adopters of PRESERVE™ & preservation-based techniques
• Performs surgery in a state-of-the-art AAAASF-certified center in Dallas

Dr. Burns has performed thousands of breast augmentations and is known nationally for his expertise in subfascial, dual-plane, PRESERVE™, and Motiva-based techniques.

His Dallas practice offers boutique-level care, advanced surgical technology, and highly personalized treatment plans.