Breast Augmentation | Beverly Hills & Los Angeles, CA Hakimi Plastic Surgery

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Tissue-Preserving Enhancement in Beverly Hills

Traditional breast augmentation involves cutting through breast tissue and, in many cases, the chest muscle, to create space for implants. The results can be beautiful, but the recovery reflects the level of disruption. Preservé by Motiva takes a different approach. This tissue-preservation technique uses specialized instruments to gently create the implant pocket without cutting through your breast’s natural support structures. The result is less discomfort, faster healing and implants that stay exactly where they should.

PRESERVÉ BREAST AUGMENTATION OVERVIEW

01 // What It Is

A minimally invasive breast augmentation technique that preserves your breast’s natural ligaments, tissue and muscle.

02 // How We Do It

Dr. Hakimi uses specialized Motiva tools to create the implant pocket through gentle tissue separation rather than cutting.

03 // Why You Want It

You want breast enhancement with less trauma, no general anesthesia and a faster recovery.

04 // Recovery Time

A few days.

Breast Augmentation

PRESERVÉ BREAST AUGMENTATION WITH DR. HAKIMI

Preservé is a breast augmentation technique developed by Motiva that prioritizes tissue preservation. Rather than cutting through the breast’s internal support structures, specialized instruments gently push the tissues aside to create a precise pocket for the implant. Your ligaments, blood vessels and nerves remain intact, and the chest muscle stays untouched. Because the breast’s natural architecture is preserved, implants “nest” within a natural support system rather than relying solely on a surgically created pocket to hold them in place.
Dr. Hakimi is a Sulàyöm-certified surgeon and one of a select group of plastic surgeons in the U.S. trained to perform the Preservé technique. He has completed advanced training at the Sulàyöm Innovation Campus, a global learning center owned by Establishment Labs, the makers of Motiva implants. For patients seeking first-time augmentation with minimal downtime and natural-looking results, this approach offers something traditional methods cannot: enhancement that works with your anatomy instead of against it.

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THE PRESERVÉ SYSTEM

Preservé uses three proprietary tools from Motiva that work together to create the implant pocket and place the implant with minimal tissue disruption.

Channel Separator: This instrument creates a gentle pathway through the breast tissue with minimal trauma. Dr. Hakimi uses it to establish the initial tunnel that will become the implant pocket.
Inflatable Balloon: Once the pathway is created, this tool is inserted and gradually inflated to expand the tissues and form a precise pocket. The controlled expansion stretches the ligaments and surrounding structures without severing them, creating space that exactly matches the planned implant size.
Insertion Sleeve: A no-touch delivery system that allows the implant to glide smoothly into place without direct contact with skin or tissue. This reduces the risk of contamination and helps minimize the chance of complications like capsular contracture.

This system is designed to work exclusively with Motiva’s Ergonomix® silicone implants, which feature a SmoothSilk® surface, ProgressiveGel® ULTIMA filling, TrueMonobloc® technology and a BlueSeal® tinted layer. These implants compress enough to fit through small incisions and then expand to fill the prepared pocket, giving your breasts a natural look and feel.

Learn More About Motiva Implant Features & Technology

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PRESERVÉ RESULTS

Results are visible immediately after your procedure. Because there’s no muscle involvement and minimal tissue trauma, you won’t experience the dramatic settling period common with traditional breast augmentation. Your implants start out close to their final position and refine over the following weeks as any mild swelling resolves.

Clinical data from Motiva’s international studies show a 0% rate of inferior malposition at three years when using the Preservé system. That means no “bottoming out,” where implants gradually drift downward over time. By preserving the breast’s natural ligament structure, Preservé creates a stable foundation that holds implants exactly where Dr. Hakimi places them.

The aesthetic results speak for themselves: soft, natural-feeling breasts that move the way breast tissue naturally moves. Partners often can’t tell the difference. And because the technique is so gentle, many patients find that their nipple sensation remains fully intact.

Before & Afters

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“Breast surgery requires a great sense for the 3D dynamics of breast tissue and how it interacts with implants. I encourage my patients to think long-term when it comes to having fuller, augmented breasts — you are prospectively designing how your breasts will age over time. The heavier the implant, for example, the more gravity will pull them down. Going bigger for the sake of going bigger isn’t always the best choice for creating beautiful results that will last.”

Dr. Hakimi

WHAT TO EXPECT DURING YOUR PROCEDURE

01 // Prior

Your Preservé breast augmentation takes place at Dr. Hakimi’s Beverly Hills practice and typically lasts about 30-45 minutes from first incision to closure. The procedure is performed using local anesthesia with oral sedation, so you stay awake and comfortable throughout.

02 // During

Dr. Hakimi begins by making a small incision, typically around 2.5 to 3 cm, hidden in the natural breast crease. He then uses the Channel Separator to create a pathway through the breast tissue and inserts the Inflatable Balloon to gently expand the pocket. The tissues stretch and separate without being cut. Once the pocket matches the planned implant size, Dr. Hakimi uses the Insertion Sleeve to place your Motiva Ergonomix implant in the prepared space.

The incision is closed with surgical glue, and you’re ready to recover. There’s no waiting for general anesthesia to wear off, no grogginess and no nausea. Most patients feel well enough to go out for dinner that same evening.

03 // Preservé Recovery

As an awake procedure, recovery from Preservé is remarkably quick. Because your tissues are preserved rather than cut, inflammation is minimal. Most patients describe mild soreness for the first day or two, manageable with over-the-counter pain medication. Swelling is typically less pronounced than with traditional augmentation and resolves faster.

Many women return to desk work within a few days and resume light activities almost immediately. Dr. Hakimi recommends avoiding strenuous exercise and heavy lifting for about two weeks to allow the tissues to stabilize. You’ll wear a supportive bra during the initial healing period to help maintain your new contours.

IS PRESERVÉ RIGHT FOR ME?

Preservé is designed for first-time breast augmentation patients who want a gentle, minimally invasive approach. You may be a good candidate if you:

Want to increase breast size by one to two cup sizes
Have adequate natural breast tissue to support subglandular placement
Prefer to avoid general anesthesia
Value a faster recovery with less discomfort
Want to preserve nipple sensation and breast function

Preservé may not be the best fit if you need a breast lift in addition to augmentation, require larger implants than the technique allows or are seeking revision surgery. During your consultation, Dr. Hakimi will evaluate your anatomy and goals to determine whether Preservé or a different approach will give you the best results. His honest, no-pressure style means you’ll get a straightforward recommendation based on what’s actually right for your body.

DISCOVER PRESERVÉ AT HAKIMI PLASTIC SURGERY

Dr. Hakimi brings the same artistry and precision to Preservé that he applies to every procedure he performs. As one of the few surgeons in Beverly Hills trained in this advanced issue-preservation technique, he offers a unique, low-impact breast augmentation option that most practices simply cannot. To learn whether Preservé breast augmentation is right for you, call 424-239-5201 or complete our online contact form to schedule your consultation.

FAQ

How Is Preservé Different From Traditional Breast Augmentation?

Traditional techniques cut through breast tissue and often the chest muscle to create the implant pocket. Preservé uses specialized tools to gently push tissues aside, preserving ligaments, blood vessels and nerves. This results in less trauma, less pain and a faster recovery.

What Size Implants Can Be Used With Preservé?

Preservé is designed for subtle to moderate enhancement, typically one to two cup sizes. The Motiva Ergonomix implants compatible with this technique currently range from 150cc to 317cc. If you’re seeking a more dramatic size increase, a traditional approach may be more suitable.

How Long Do Preservé Results Last?

Motiva implants are designed for long-term durability. Clinical data show rupture rates of just 0.6% at three years, and many patients enjoy their results for a decade or longer. The preserved breast structure provides stable support that helps maintain implant position over time.

Will I Have Visible Scarring?

The incision for Preservé is small, typically around 2.5 to 3 cm, and is placed in the natural crease beneath the breast. Once healed, the scar is usually difficult to see, even in a bikini or during intimate moments.

Can I Replace My Current Implants With the Preservé Technique?

Preservé is designed for first-time breast augmentation patients. If you’re considering implant revision or replacement, Dr. Hakimi will need to work with the existing pocket, which requires a different surgical approach. During your consultation, he can discuss the best options for your revision.

ACHIEVE THE LOOK YOU’VE ALWAYS WANTED

Experience how breast augmentation can transform your look at Hakimi Plastic Surgery. Serving patients from across the country as well as those from Beverly Hills, Los Angeles and the surrounding areas, Dr. Hakimi uses his skill and expertise to help you achieve your goals. To learn more about breast augmentation, get started by calling Hakimi Plastic Surgery at 424-239-5201 or completing our online contact form to request a consultation today.

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