Preservation Breast Augmentation (PBA) is a modern, tissue-respecting way to enhance the breast—prioritizing anatomy-sparing technique, pocket precision, and reliable support over simply “going bigger.” The aim is to produce soft, centered, youthful breasts that hold their position beautifully over time.
Who it’s for: first-time augmentation patients who want a refined, natural look and patients with mild laxity (such as sagging from nursing/post-partum).
Preservé™ is a standardized preservation protocol created with Motiva® that formalizes the above principles into a step-by-step surgical method—emphasizing gentle dissection, meticulous hemostasis, pocket accuracy, and implant handling designed to protect tissues and deliver consistency.
At Capizzi MD, double-board-certified plastic surgeon Dr. Peter Capizzi is deeply experienced with preservation methods and advises on the Preservé™ approach—pairing surgical precision with an aesthetic eye for shape and symmetry.
Note on availability: Specific implant brands and materials are selected based on your anatomy and goals, as well as current regulatory approvals and availability in the U.S. We’ll review all options with you during consultation.
You may be a great candidate if you want:
We’ll confirm candidacy after a full exam, skin-quality review, and a goals-first conversation.
All surgery carries risks (bleeding, infection, healing delays, anesthesia risks, need for revision). Selection of implant type/brand and any support materials (if used) is individualized and based on your anatomy, goals, and current U.S. availability/approvals. We’ll review benefits, alternatives, and material-specific considerations in detail so you can make a confident, informed choice.
Every plan is personalized—your nurse team will guide positioning, garment use, and scar care.
Pressure/tightness is common. Light daily activity resumes and patients return to work.
Swelling and soreness steadily improves.
Gradual return to low-impact exercise.
Shape refines. Patients return to high intensity workouts as desired.
Implant choice is personalized and based on anatomy, goals, and current U.S. approvals. We’ll discuss the pros/cons of each option and recommend the one that fits your plan.
Not always. Many primary cases don’t need added support. For thin tissues or revision work, we may use suture-based reinforcement or a soft-tissue support matrix to help results hold their shape.
Yes—pocket precision and fold/border control are central to addressing those concerns. Your surgeon will outline what’s achievable in your anatomy.
Incisions are placed thoughtfully and closed with layered technique to encourage delicate, well-healed scars, plus a tailored scar-care plan.
If you’re drawn to a natural, balanced enhancement—and you want your results to stay beautifully centered—Preservation or Preservé™ may be your ideal path. Request a consultation at Capizzi MD in Charlotte, and let’s design the most elegant version of you.
