July 21, 2026
The Truth About Preservé Breast Augmentation (From Surgeons Who Do It) | Beauty & the Beasts Podcast
Dr. Sam Jejurikar and Dr. Sal Pacella take on Preservé, the new breast augmentation technique built around the Motiva ergonomic implant, and tackle the question dividing plastic surgery right now: is it a genuine breakthrough or just great marketing?
Dr. Jejurikar makes the case for why Preservé may be changing breast augmentation in a way the field has not seen before, walking through what actually makes the technique different. Instead of cutting the tissue behind the breast, Preservé uses fluid infiltration and a balloon dissector to gently separate the natural plane between the breast gland and the muscle, preserving the circumareolar ligament that locks the implant in place. The result is a smaller incision, no tissue cutting, and an implant that sits remarkably stable. He draws on his real-world experience with over 100 Motiva cases and explains why he has become a believer, while being candid about the caveats patients need to hear.
Dr. Pacella brings the skeptic's eye that balances every episode, drawing on the technique he has seen performed in Costa Rica and pressing Dr. Jejurikar on pocket tightness, capsular contracture, and whether the balloon dissector is truly necessary or whether this is simply a small implant through a small incision. Together they land on the points that matter most, including the local anesthesia marketing, the limits of the current capsular contracture data, and the fact that Preservé is a retroglandular procedure without the long term track record we have for subfascial and subpectoral placement.
Whether you are a patient researching your options or a colleague weighing the evidence, this is the honest, two sided breakdown the Beauty and the Beasts audience comes for.
Topics covered:
- The embryology behind breast preservation surgery
- How the Preservé balloon dissection actually works
- Local versus general anesthesia for breast augmentation
- Micro texturing and the capsular contracture debate
- Why the implant may matter as much as the technique
- Does Preservé just mean using a smaller implant?
Hosted by Dr. Sam Jejurikar and Dr. Sal Pacella.
#SamJejurikar #DrJejurikar #SalPacella #DrPacella #BeautyAndTheBeasts #MotivaPreserve #BreastAugmentation #PlasticSurgery
Dr. Jejurikar makes the case for why Preservé may be changing breast augmentation in a way the field has not seen before, walking through what actually makes the technique different. Instead of cutting the tissue behind the breast, Preservé uses fluid infiltration and a balloon dissector to gently separate the natural plane between the breast gland and the muscle, preserving the circumareolar ligament that locks the implant in place. The result is a smaller incision, no tissue cutting, and an implant that sits remarkably stable. He draws on his real-world experience with over 100 Motiva cases and explains why he has become a believer, while being candid about the caveats patients need to hear.
Dr. Pacella brings the skeptic's eye that balances every episode, drawing on the technique he has seen performed in Costa Rica and pressing Dr. Jejurikar on pocket tightness, capsular contracture, and whether the balloon dissector is truly necessary or whether this is simply a small implant through a small incision. Together they land on the points that matter most, including the local anesthesia marketing, the limits of the current capsular contracture data, and the fact that Preservé is a retroglandular procedure without the long term track record we have for subfascial and subpectoral placement.
Whether you are a patient researching your options or a colleague weighing the evidence, this is the honest, two sided breakdown the Beauty and the Beasts audience comes for.
Topics covered:
- The embryology behind breast preservation surgery
- How the Preservé balloon dissection actually works
- Local versus general anesthesia for breast augmentation
- Micro texturing and the capsular contracture debate
- Why the implant may matter as much as the technique
- Does Preservé just mean using a smaller implant?
Hosted by Dr. Sam Jejurikar and Dr. Sal Pacella.
#SamJejurikar #DrJejurikar #SalPacella #DrPacella #BeautyAndTheBeasts #MotivaPreserve #BreastAugmentation #PlasticSurgery