THE APPROACH AND THE IMPLANT ARE DIFFERENT DECISIONS
What Is Motiva Preservé?
Motiva Preservé is a branded breast-augmentation approach that uses specialized instruments to create the implant pocket with a tissue-preserving intent. For an appropriate candidate seeking primary augmentation, that more focused approach may be worth considering when the desired change, tissue, and compatible Motiva implant all fit.
Preservé describes the surgical approach—not the implant itself—and it does not guarantee a particular scar, recovery, sensation, or result. [1] The Motiva Breast Implants page explains the separate device decision; this page explains what may make the approach relevant and how Dr. Howarth determines whether it belongs in your plan.
A SPECIFIC REQUEST DESERVES A COMPLETE COMPARISON
Why Do Patients Ask About Motiva Preservé?
Women may ask about Preservé because they are interested in a tissue-conscious primary augmentation approach and want to know whether it could fit the proportion and change they have in mind. Consultation turns that interest into a specific comparison.
-
A Specific Approach
Consultation clarifies what Preservé changes, who may be a candidate, and how it compares with standard augmentation. -
Tissue and Anatomy
Tissue coverage, breast position, chest dimensions, and asymmetry help determine whether the approach fits. -
The Desired Change
Volume, projection, upper-pole shape, and overall proportion affect whether Preservé belongs in the comparison. -
The Complete Operation
A lift, revision, significant asymmetry, or another structural concern may make another approach more appropriate. -
Long-Term Responsibilities
Implant records, surveillance, breast screening, and possible future surgery remain part of the decision.
Interest in Preservé is a reason for careful evaluation, not proof that it is the right technique.
CANDIDACY COMES BEFORE THE BRANDED APPROACH
Motiva Preservé Candidacy, Alternatives, and Consultation
Dr. Howarth considers health, breast and chest dimensions, skin and soft-tissue coverage, breast and nipple position, asymmetry, prior surgery, scars, desired change, implant preferences, activity, and long-term follow-up. The proposed approach and available implant choices must fit the patient.
Some women will be better served by standard breast augmentation, a different implant plan, fat transfer, a breast lift, or a staged operation. Selection is valuable precisely because the requested label does not decide the operation.
When Surgery May Not Be the Right Choice
The purpose of consultation is to identify the most appropriate next step—not to presume that an operation is needed. Dr. Howarth may recommend waiting, further evaluation, a different setting or approach, nonsurgical care, or no surgery when that is the more appropriate recommendation.
PERSONAL DECISIONS. THOUGHTFUL CARE.
Privacy During Breast Surgery Consultation and Care
Questions about breast surgery can feel personal. When you contact us, you can tell us whether you prefer a call or text. Your consultation with Dr. Howarth is a thoughtful conversation about your anatomy, concerns, and goals.
SPECIFIC EXPERIENCE. SELECTIVE RECOMMENDATIONS.
Choosing a Motiva Preservé Surgeon: Why Dr. Howarth
Ashley Howarth, MD, FACS, is a board-certified plastic surgeon in Scottsdale, a Diplomate of the American Board of Plastic Surgery, an Instructor in Plastic Surgery at Mayo Clinic, and a Fellow of the American College of Surgeons. Her background includes nine years of formal surgical training in general, plastic, and reconstructive surgery.
Dr. Howarth performs Motiva Preservé selectively when anatomy, tissue, desired change, and the complete implant plan fit the approach. Consultation should clarify whether Preservé belongs in the plan or whether standard augmentation or another option offers a better balance.
Her value is not simply offering Preservé. It is knowing when the approach fits and when it does not.
PLASTIC SURGERY
OF SURGEONS
SCOTTSDALE · MODERN OFFICE SETTING
FROM CONSULTATION TO CONFIDENCE
Motiva Preservé Breast Augmentation Consultation and Patient Care Coordination
Your patient care coordinator helps with scheduling, estimates, financing, forms, travel, and follow-up logistics. Dr. Howarth and her clinical team answer medical questions and make all clinical recommendations.
A thoughtful beginning.
Your coordinator can arrange consultation and explain which records, photographs, or other information the team would like you to have ready.
Clear information before you decide.
After Dr. Howarth recommends a plan, your coordinator can review the written estimate, financing information, scheduling requirements, forms, and next steps.
Practical details, clearly organized.
Once required visits are known, your coordinator can help organize Scottsdale travel and follow-up timing. The clinical team provides individualized medical guidance.
THE NAME DOES NOT ANSWER EVERY QUESTION
Motiva Preservé Options and Tradeoffs
Desired Change
Volume, proportion, projection, and shape guide whether the approach is relevant.
Motiva Implant
The selected implant must fit breast and chest anatomy, tissue coverage, and the complete plan.
Access & Pocket
The incision and pocket follow the operation Dr. Howarth recommends, not a general online description.
Alternatives
Standard augmentation, lift, fat transfer, another device plan, staging, or no surgery may fit better.
THE COMPLETE PLAN DETERMINES THE EXPERIENCE
What Happens on the Day of Motiva Preservé?
Procedure-day details depend on the exact Preservé plan, selected Motiva implant, anesthesia, setting, and whether another breast concern must be addressed. The clinical team provides individualized instructions after consultation.
The plan, reviewed.
The team reviews the operation, implant, markings, preparation, and remaining questions.
Care follows the plan.
Dr. Howarth performs the approach according to the anatomy-led plan discussed during informed consent.
Instructions match the operation.
The team reviews garments, medications, activity, follow-up, and how to contact the practice.
INFORMED CONSENT COVERS THE APPROACH AND IMPLANT
Motiva Preservé Safety, Risks, and Limitations
Preservé remains implant-based breast surgery. Risks and long-term responsibilities of the exact Motiva implant still apply, together with risks related to the incision, pocket, anesthesia, tissue response, and healing.
FDA approval of a Motiva implant should not be interpreted as separate FDA approval of every Preservé technique, instrument, or marketing claim. Dr. Howarth reviews the exact device labeling and the considerations that apply to the proposed operation.
Possible Considerations Include
- Bleeding, infection, fluid collection, or delayed healing
- Scars, sensation change, asymmetry, or an unsatisfactory result
- Implant position change, rippling, visibility, or palpability
- Capsular contracture, rupture, pain, or additional evaluation
- Implant-specific surveillance and long-term follow-up
- Revision, removal, or another operation in the future
What Preservé Cannot Guarantee
- Less pain, faster recovery, or preserved sensation or breastfeeding
- A smaller or invisible scar, exact cleavage, or perfect symmetry
- A particular shape, feel, movement, or another patient’s result
- Lower complication rates for an individual patient
- Permanent results or freedom from future imaging or surgery
GUIDANCE FOLLOWS THE OPERATION ACTUALLY PERFORMED
Motiva Preservé Recovery
Recovery is individualized. It depends on the exact operative plan, implant, daily demands, and healing—not the Preservé name alone.
Swelling, tightness, bruising, incision care, garments, and comfort vary during early healing.
Work and driving resume according to medication use, comfort, mobility, healing, and job demands.
Exercise, lifting, and travel guidance are adjusted as healing progresses and the team provides clearance.
Implants are not lifetime devices. Clinical follow-up, routine breast screening, and recommended rupture surveillance remain important.
BEFORE & AFTER GALLERIES
Private Motiva Preservé Breast Augmentation Before & After Gallery
Motiva Preservé Breast Augmentation before-and-after photographs can feel deeply personal. As both a woman and a surgeon, Ashley Howarth, MD, FACS, understands the trust involved in sharing them. Howarth Plastic Surgery in Scottsdale makes galleries of real patient results available by request through private before-and-after reviews.
Keeping Motiva Preservé breast augmentation before-and-after galleries off unrestricted public pages helps preserve patient dignity and clinical context while limiting casual viewing, unauthorized reposting, and collection by automated systems or AI agents.
During your private before-and-after review, you can see a range of Motiva Preservé breast augmentation results and discuss how starting anatomy, surgical choices, healing, and time influenced each outcome. These photographs can support an informed consultation, but individual results vary, and no image can predict your outcome.
PATIENT CASE SUMMARIES
Selected Motiva Preservé Breast Augmentation Case Summaries
These deidentified case summaries illustrate how Ashley Howarth, MD, FACS, evaluates Motiva Preservé breast augmentation at Howarth Plastic Surgery in Scottsdale, Arizona. They focus on anatomy, tissue quality, dimensional implant fit, the desired degree of change, and circumstances in which a conventional augmentation, lift, or no surgery is more appropriate. To protect patient privacy, some nonclinical identifying details have been generalized or modified. Individual anatomy, procedures, healing, and results vary.
Case 01
Measured enhancement
A modest augmentation goal aligned with Preservé candidacy findings
Patient presentation
The patient wanted a measured increase in breast volume and was interested in the Preservé approach after researching tissue-preserving augmentation.
Clinical evaluation
Dr. Howarth assessed breast width, tissue coverage, skin elasticity, fold position, asymmetry, and implant dimensions compatible with the approach.
Procedure performed
Motiva Preservé breast augmentation was performed with an implant and access plan selected during consultation.
Clinical rationale
Candidacy depends on anatomy and implant fit, not on the technique name alone.
Follow-up
Incision healing, implant position, breast softness, symmetry, and return to activity were reviewed.
Case 02
Implant dimensions
Breast-base dimensions determined whether the Preservé access and pocket plan remained appropriate
Patient presentation
The patient preferred a particular implant volume but wanted the least conspicuous change compatible with her frame.
Clinical evaluation
Measurements compared breast-base width, tissue stretch, coverage, projection, and whether the Preservé access and pocket requirements fit the anatomy.
Procedure performed
A dimensionally appropriate Motiva implant was placed using the confirmed Preservé approach.
Clinical rationale
Selecting an implant outside the anatomy-based range can undermine the tissue and proportion goals that led to the consultation.
Follow-up
Dr. Howarth assessed implant settling, lower-pole support, edge visibility, and overall proportional fit.
Case 03
Asymmetry
Side-to-side differences tested whether a limited Preservé approach remained appropriate
Patient presentation
The patient wanted augmentation but had differences in native volume, breast-fold position, and nipple height.
Clinical evaluation
Dr. Howarth measured each breast independently and evaluated whether the side-specific implant and pocket requirements remained compatible with the Preservé approach.
Procedure performed
A side-specific Preservé augmentation was performed using distinct implant and pocket decisions for each breast.
Clinical rationale
A limited-access approach still requires individualized planning and cannot guarantee exact symmetry.
Follow-up
Follow-up reviewed implant position, fold level, residual asymmetry, and incision healing on each side.
Case 04
Technique comparison
Preservé and conventional augmentation were compared before choosing the operative approach
Patient presentation
The patient wanted implant-based enhancement but did not know whether Preservé or a conventional augmentation better matched the desired change.
Clinical evaluation
Evaluation considered implant dimensions, tissue quality, access, pocket requirements, skin capacity, and the need for any additional correction.
Procedure performed
The augmentation approach was selected after the patient reviewed the distinct indications and tradeoffs.
Clinical rationale
The least extensive appropriate operation is selected from the anatomy, not assumed from marketing terminology.
Follow-up
Healing, implant stability, contour, and the early response of the breast tissues were monitored.
Case 05
Lift needed
Postpartum breast descent required a lift discussion before Preservé augmentation
Patient presentation
The patient hoped an implant could restore volume and elevate a descended nipple without breast-lift scars.
Clinical evaluation
Dr. Howarth evaluated skin excess, nipple position, breast-tissue descent, desired volume, and the limits of implant-only correction.
Recommendation
Preservé alone was not recommended, and lift, staged augmentation, or observation was discussed.
Clinical rationale
An implant can add volume but does not reliably correct meaningful skin and nipple descent.
Follow-up
No Preservé operation was scheduled while the patient considered the lift-related scars and alternatives.
Case 06
Candidacy boundary
A requested Preservé plan was declined when anatomy and implant goals fell outside its role
Patient presentation
The patient requested Preservé while seeking a degree of enlargement or structural correction not suited to the approach.
Clinical evaluation
Examination compared the requested result with tissue coverage, breast width, skin capacity, implant dimensions, and any need for lift or revision work.
Recommendation
Dr. Howarth recommended conventional augmentation, another breast procedure, or no surgery rather than forcing Preservé into an unsuitable plan.
Clinical rationale
Technique eligibility should remain narrower than general augmentation candidacy when anatomy or operative goals require different access and control.
Follow-up
The patient received an alternative plan and did not schedule Preservé breast augmentation at that consultation.
PLANNING WITH CLARITY
Motiva Preservé Cost, Financing, and Travel to Scottsdale
Motiva Preservé Cost
At Howarth Plastic Surgery in Scottsdale, Motiva Preservé breast augmentation typically costs $19,500 to $25,000. More complex plans, including revision or combined surgery, may exceed this range. Your final cost depends on candidacy, implant selection, anesthesia, and surgical setting. After consultation with Dr. Howarth, you will receive a personalized written estimate for the plan she recommends.
Financing Options
Howarth Plastic Surgery is a cash-pay practice and does not accept or bill insurance. Your patient care coordinator can review financing through PatientFi and CareCredit, subject to third-party approval.
Planning Care in Scottsdale
If you are traveling from elsewhere in Arizona or out of state, out-of-town patient information can help you plan around consultation, surgery, and follow-up. Required appointment dates, how long to remain nearby, and when travel may resume are individualized. An initial consultation may take place virtually, but an in-person examination is required before the operative plan is finalized.
CLEAR ANSWERS ABOUT A DISTINCT APPROACH
Motiva Preservé Frequently Asked Questions
Motiva Preservé is a branded breast-augmentation approach Dr. Howarth offers selectively for appropriate candidates using Motiva implants.
Preservé describes the surgical approach. Motiva Breast Implants are devices. The approach and implant are related but distinct decisions.
Yes. Dr. Howarth performs Motiva Preservé selectively when anatomy, tissue, desired change, and the complete implant plan fit the approach.
Candidacy depends on health, anatomy, tissue coverage, breast position, desired change, compatible implant choices, and the exact operation. Consultation and examination determine fit.
The exact Motiva implant has its own FDA status and labeling. Device approval should not be described as separate FDA approval of every Preservé technique, instrument, or claim.
No. Incisions and recovery depend on the exact operation and individual healing. Neither can be promised from the branded name alone.
No. The better plan is the one that fits the patient’s anatomy, goals, tissue, risks, and long-term priorities.
The risks and responsibilities of implant-based breast surgery remain, together with considerations related to the exact approach and complete operation.
A lift is a separate position-and-skin decision. When lifting is needed, Dr. Howarth determines whether a combined or staged plan and which augmentation approach are appropriate.
No branded approach makes an implant a lifetime device. Device records, routine breast screening, clinical follow-up, and recommended rupture surveillance remain important.
At Howarth Plastic Surgery in Scottsdale, Motiva Preservé breast augmentation typically costs $19,500 to $25,000. More complex plans, including revision or combined surgery, may exceed this range. Your final cost depends on candidacy, implant selection, anesthesia, and surgical setting. After consultation with Dr. Howarth, you will receive a personalized written estimate for the plan she recommends.
Travel may be possible when consultation, surgery, and follow-up can be coordinated safely. Begin with the Out-of-Town Patient guide.
BEGIN HERE
Request a Consultation
Tell us what you are considering. A member of our patient care team will follow up with consultation availability and next steps.
Megan S.
Patient Coordinator
Prefer to talk or text?
