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Motiva Preservé is a minimally invasive breast augmentation technique performed under local anaesthetic — meaning you are awake throughout, with no general anaesthetic and none of its associated risks. Developed by Establishment Labs, it uses a 2.5–3 cm incision (half the size of traditional breast augmentation), the MotivaFlow™ no-touch technique, and gentle balloon tissue dissection to minimise scarring, protect nerves, and dramatically shorten recovery. Mr Reza Nassab FRCS Plast is a GMC-registered consultant plastic surgeon, member of BAAPS and BAPRAS, and one of the UK’s leading providers of Motiva Preservé in Manchester, Cheshire, and London. Mr Nassab was the first surgeon in the UK to perform Motiva Preserve under purely local anaesthetic without sedation. Mr Nassab also has one of largest series of Preserve cases in the UK with over 40 cases to date and rapidly increasing.

FRCS Plast GMC Specialist Register BAAPS Member BAPRAS Member ISAPS Member CQC Regulated 5.0 Star Rated Local Anaesthetic No General Anaesthetic

Motiva Preservé At-a-Glance

ProcedureMotiva Preservé (minimally invasive breast augmentation)
SurgeonMr Reza Nassab FRCS Plast — GMC-registered Consultant Plastic Surgeon, BAAPS & BAPRAS member
AnaestheticLocal anaesthetic — you remain awake, no general anaesthetic
Incision size3 cm (less than half the size of traditional breast augmentation)
Pocket positionSubglandular (tissue-preservation technique)
Implant typeMotiva Ergonomix 2 — Establishment Labs
Procedure duration30–45 minutes
Hospital stayDay case — home the same day
Return to work4–5 days
Return to exercise4 weeks
Price — ManchesterFrom £9,500
Price — CheshireFrom £9,500
Price — LondonFrom £10,500
FinanceAvailable — enquire at consultation
ClinicsManchester · Knutsford, Cheshire · London
Reviews5.0 stars; from 275+ verified patient reviews
Medically reviewedMay 2026 — Mr Reza Nassab FRCS Plast

Preservé by Motiva

Motiva Preservé Breast Augmentation Manchester

Breast augmentation remains one of the most popular cosmetic surgeries globally. However, many patients have concerns about scarring, recovery times, and achieving results that look and feel natural. Addressing these concerns comprehensively is Motiva Preservé, an innovative breast augmentation technique revolutionising the industry by offering minimal scarring, faster recovery, and natural outcomes. This is the new era of the MiniAug.

Minimally Invasive Breast Augmentation Using Preservé

What is Preservé by Motiva?

Treatment Overview

Motiva Preservé is a groundbreaking, minimally invasive breast augmentation method designed by Establishment Labs, leveraging advanced Motiva implants technology. It utilises unique techniques and specialised surgical instruments to significantly minimise tissue trauma and deliver superior cosmetic outcomes compared to traditional breast augmentation procedures.

Motiva Preservé specifically involves:

  • Smaller Incisions: Typically 2.5 to 3 cm, half the size of conventional breast augmentation scars.

  • No-Touch Technique: Using MotivaFlow™, a sterile sleeve that allows the surgeon to insert the implant without touching it, reducing contamination risks.

  • Gentle Tissue Dissection: Balloon or hydro-dissection methods gently create the implant pocket, protecting nerves and reducing bleeding.

Traditional breast augmentation techniques involve larger incisions (4-6 cm) and manual tissue dissection methods, potentially causing greater tissue trauma and longer healing times. By contrast, Motiva Preservé reduces tissue disruption dramatically by gently dilating tissue layers, preserving nerves and blood vessels, thus shortening recovery time and reducing postoperative discomfort.

Motiva Preserve Before and After

“The best surgeon in the business! From start to finish, my experience was amazing. I felt so comfortable in my first consultation right through to my last check up post-surgery. Dr Nassab was so helpful in deciding what implants were best for me, he guided me in the right direction, and I have now achieved the exact look I wanted. I couldn’t have wished for a better experience! I already have three of my friends booking in with Dr Nassab for a consultation after seeing how great my experience has been.”

Who is an Ideal Candidate for Motiva Preservé?

Motiva Preservé is suitable for most women considering breast augmentation. Ideal candidates typically:

  • Are over 18 and in good general health.

  • Have realistic expectations about cosmetic surgery outcomes.

  • Seek natural-looking enhancement with minimal scarring.

  • Desire rapid recovery to quickly resume daily activities.

It may not be suitable for patients seeking excessively large implants or those requiring significant breast lifts.

The Benefits of Motiva Preserve

What are the benefits of a Minimally Invasive Boob Job?

In Cheshire and Manchester Motiva Preserve at Reza Nassab Plastic Surgery can bring transformative benefits for both your look and your confidence:

Minimal Scarring

The small incisions required for Motiva Preservé are discreetly positioned, in the breast crease, ensuring scars are nearly invisible once healed.

Rapid Recovery

Patients undergoing Motiva Preservé generally return to everyday activities within a few days, significantly faster than traditional procedures, where recovery might extend to two weeks or longer.

Preservation of Breast Sensitivity

The gentle dissection techniques used in Motiva Preservé help protect sensory nerves, maintaining normal nipple sensitivity post-procedure.

Awake Surgery

The Motiva Preservé is performed under local anaesthetic which means you are awake during the procedure. This means that you will not have issues with general anaesthesia such as sickness, sleepiness and associated issues.

Elevate your femininity with the revitalizing benefits of Motiva Preserve in Manchester and Cheshire at Reza Nassab Plastic Surgery, where beauty is artfully enhanced and confidence is embraced.

Breast Preservation

Tissue Preservation Technique

The Motiva Preserve is a tissue preservation technique. This means that there is minimal disruption to your breast tissues during the procedure. We try to maintain the ligament support around the breast and preserve the nerves. To find out more information about Preservé Manchester & Cheshire patients should book a consultation, please contact us via our contact form

Minimally Invasive Breast Augmentation

The Mia Femtech was designed as the minimally invasive breast augmentation using the same tools as Preserve but using an incision in the armpit. The size of implants with Mia is smaller than Preservé. The Preserve is the new approach using the incision under the breast and larger Ergonomix 2 Motiva implants.

Motiva Preservé Costs

All prices are all-inclusive of your pre-operative consultation, surgeon fees, local anaesthetic, Motiva implants, post-operative garments, and follow-up appointments.

Manchester

From £9,500

Motiva Ergonomix 2

Cheshire

From £9,500

Motiva Ergonomix 2

London

From £10,500

Motiva Ergonomix 2

Finance options available — please enquire at consultation.

Motiva Preservé costs more than standard breast augmentation because of the specialist instruments, proprietary implants, and additional training required. The reduced recovery time and minimised tissue trauma represent meaningful clinical advantages for eligible patients.

Book a Consultation →

How is Motiva Preservé done?

Preserve Procedure

Preservé At-a-Glance

  • Anaesthetic: Local
  • Procedure time: 30 to 45 Minutes
  • Length of stay: Daycase.
  • Return to work: 4-5 days

In Manchester and Cheshire, the Motiva Preservé is done under a local anaesthetic. The operation is done as a day case, which means you can go home the same day. We infiltrate the local anaesthetic. We make the cut in the crease underneath the breast. A pocket is then made using a special channel separator device and inflatable balloon. This pocket is under the breast tissue (subglandular). The breast implant is placed into the pocket using a special funnel device. Once the breast implant is placed in the pocket, the cut is then stitched and dressings applied.

Life Changing Results

Preservé Before and After

As post-surgery swelling subsides, the true beauty of the results becomes increasingly evident. Each outcome is a testament to Mr Nassab’s meticulous artistry and personalized care.

Enhanced Elegance

Motiva Preservé Recovery — Day by Day

One of the biggest advantages of Motiva Preservé is how quickly most patients recover compared with traditional breast augmentation. The guide below reflects typical experience — Mr Nassab will provide full written aftercare instructions and is available to answer questions at any stage.

TimeframeWhat to Expect & Guidance
Day 1Mild discomfort and tightness is normal. Rest at home. Take prescribed pain relief. Wear your surgical support bra. A responsible adult should be with you.
Days 2–3Discomfort reduces significantly — most patients describe it as much milder than expected. Light daily activities around the home are fine. Avoid raising arms above shoulder height.
Days 4–5Return to office or home-based work is possible for most patients. This is why Motiva Preservé is sometimes called the ‘weekend boob job’ — surgery Friday, back to a desk job Monday. Continue wearing your support bra.
Week 1–2Swelling continues to reduce. Implants begin to settle. Avoid lifting anything heavy. Avoid driving until you can perform an emergency stop comfortably without hesitation. Attend your first post-operative appointment.
Week 3–4Most patients feel largely normal. Continue avoiding strenuous exercise. Scar maturation begins — follow Mr Nassab’s scar management guidance.
Week 4Return to gym and strenuous exercise. Implants continue to settle into their final position over the following weeks.
3–6 MonthsFinal results fully visible as swelling resolves. The 2.5–3 cm inframammary scar matures to a fine, pale line — typically far less visible than traditional breast augmentation scars at the same stage.

Motiva Preservé Clinics

Motiva Preservé Manchester

Mr Nassab performs Motiva Preservé consultations and surgery in central Manchester at CLNQ / Deansgate Square — 11 Owen Street, Manchester M15 4YB. The facility is CQC-regulated. Surgery at the adjacent Deansgate Hospital is available for eligible patients. Easily accessible from Deansgate, Spinningfields, and across Greater Manchester.

View on Google Maps  |  0800 0584558  |  Book online

Motiva Preservé Cheshire (Knutsford)

Mr Nassab’s Cheshire clinic is at 49–51 King Street, Knutsford WA16 6DX — serving patients from Knutsford, Wilmslow, Altrincham, Macclesfield, Stockport, and across Cheshire. Motiva Preservé in Cheshire starts from £9,500.

View on Google Maps  |  0800 0584558  |  Book online

Motiva Preservé London

Mr Nassab offers Motiva Preservé consultations and surgery in London at a CQC-regulated private clinic. London patients receive the same surgical expertise, same Motiva implants, and same standard of care. Please contact the clinic for London pricing and availability.

0800 0584558  |  Book a London consultation

Motiva Preservé

Frequently Asked Questions

We will need to assess the degree of ptosis or sagging during your consultation. If there is a significant amount of sagging then you may need an uplift. This may possibly be done at the same time if it is a small uplift. If you need a larger lift then you are likely to need a general anaesthetic.

Some people call the Motiva Preserve the ‘weekend boob job’ because you could have it on the Friday and be in work on Monday. This depends on your recovery and job. It may be possible to go back to work if you are office based or work from home.

Preserve, like any breast augmentation surgery, may result in potential complications, although these are uncommon. The main complications following breast enlargement include:

Bleeding and haematoma formation

A haematoma is a collection of blood that may form in the pocket of the implant, and this may require surgery to wash the pocket and stop any bleeding.

Infection

The risk of infection is rare. You will normally be given some antibiotics during the procedure to reduce this risk further. Most infections occur soon after surgery, although they may happen many years after the initial surgery as well. If the infection is severe, then the breast implant may need to be removed. The cavity is then washed and closed. Usually, we would then need to wait a number of weeks to months before replacing the implant.

Scarring

There will be a scar from the incision to insert the breast implant. The scar is most often placed in the crease beneath the breast. Scars can sometimes become raised or lumpy, which is referred to as a hypertrophic or keloid scar. This may need further treatment in the form of silicone dressings or creams and possibly a course of steroid injections.

Change in Nipple Sensation

Most women will notice an alteration in the sensation in the nipple following breast augmentation. Most often, there is reduced sensation, although some women may notice increased sensitivity after breast enlargement. This is often temporary, but some permanent changes may occur.

Asymmetry

All breasts have some degree of asymmetry, and even after breast augmentation, there may be some minor degree of asymmetry. There are occasions when minor asymmetries preoperatively may be exaggerated postoperatively. There may also be differences in terms of nipple position after breast enlargement.

  • Implant Extrusion
  • Implant Rupture
  • Gel Bleed
  • Capsular Contracture

The main long-term complication with breast implants is the formation of a capsular contracture. When an implant is placed into the breast, the body forms a thin capsule around it. In some women, this capsule can become thickened and cause discomfort and distortion of the breast. This may require further surgery, and the risk of it recurring is high if you have already had a capsular contracture.

Changes with Time

When you age or have children, there will be changes in your breast shape and volume. Generally, the skin loses its elasticity and thins, resulting in drooping of the breast, known as breast ptosis. This may require an uplift procedure or mastopexy to correct. Thinning of the skin and tissues covering the breast implant may result in the implant becoming palpable, showing signs of rippling or wrinkling.

Most women are able to breastfeed after Preserve breast enhancement.

The Olivia Atwood show featured the Mia Femtech which is a minimally invasive procedure like Preserve. The difference is that Mia is performed through a scar in the armpit and Preserve is done with the scar under the breast. There are some differences in the implants and sizes used as well.

We say avoid the gym and exercise for four weeks. Exercising earlier may cause increases in blood pressure and heart rate that may increase the risk of bleeding.

The prices start from £9500 for Motiva Preservé breast enlargement performed in Manchester at Deansgate Hospital. To find out more information about the cost of Motiva Preserve surgery, book a consultation with Mr Nassab. Finance payment options are available.

The scar is in the breast crease just underneath the breast. This is usually 2.5-3 cm in length which is smaller than most breast augmentation procedures.