Gentle breast augmentation without a general anaesthetic: the Preservé™ technique

Breast augmentation is a very personal step for many women - it is about well-being, self-confidence and a harmonious body image. Lecturer Dr Johannes Matiasek, a specialist in plastic, reconstructive and aesthetic surgery with practices in Vienna and Schladming, is setting new standards with the Preservé™ technique.

This innovative method enables a particularly gentle breast augmentation without a general anaesthetic, is gentle on the body's own tissue and ensures a natural, stable result. Patients benefit from a quick recovery, low risks and a particularly natural body sensation.

What is the Preservé™ technique?

The Preservé™ technique is a minimally invasive form of breast augmentation, which is designed to preserve the natural breast tissue. Instead of cutting through muscles or glandular tissue, the surrounding tissue is gently stretched and prepared for the implant.

Dr Matiasek pursues a clear goal: your natural anatomy with all its functions, such as breastfeeding ability and sensitivity, is preserved. As a result, women not only experience a beautiful, harmonious breast shape, but also a completely natural body sensation.

How exactly does this method work?

The main difference between the Preservé™ technique and traditional surgical methods lies in the particularly gentle preparation of the implant pocket. While conventional breast augmentations often involve cutting tissue or even severing muscle, Dr Johannes Matiasek takes a different, gentler approach.

A special balloon expander is first inserted through a small, inconspicuous incision in the underbust crease. This medical instrument is then carefully filled with fluid so that it controls and gradually stretches the surrounding breast tissue. In contrast to a surgical incision, in which tissue structures are permanently damaged, this technique preserves the tissue and merely shapes it. This naturally creates an implant pocket into which the breast implant is later inserted.

The implant itself is inserted using a so-called no-touch technique. This means that the implant does not come into contact with the skin during insertion. It is placed directly and hygienically into the prepared pocket with the help of a special insertion aid. This procedure is not only particularly gentle, but also significantly reduces the risk of infection or contamination.

Another advantage of this method is the reduced strain on the body: as neither muscles nor connective tissue are severed, patients generally experience significantly less pain after the procedure. In addition, the recovery phase is shorter and many women report that they were able to return to their everyday lives more quickly than expected.

What makes Preservé™ so special?

Protection of the tissue

A key feature of the Preservé™ technique is the gentle treatment of the body's own tissue. Instead of damaging muscles or glandular tissue, the breast tissue is gently stretched using a balloon expander. As a result, it wraps itself around the implant and forms a stable, harmonious shape. For patients, this means less trauma to the body, a more natural result and a long-term stable breast shape that retains its sensitivity.

 

No general anaesthetic

Dr Matiasek does not perform the procedure under general anaesthetic, but with a gentle anaesthetic in combination with sedation. This considerably reduces the strain on the body, minimises risks and enables a faster recovery. Many women find this aspect particularly pleasant, as they feel amazingly fit after the procedure and can usually return to their everyday lives after a short time.

Security and trust

Safety is Dr Matiasek's top priority. Clinical studies show that even years after an operation using the Preservé™ technique, no incorrect implant position occurs. The surface of the Motiva SmoothSilk® implants used also reduces the risk of complications such as capsular fibrosis. This is complemented by a guarantee package that gives patients additional security and confidence - a reassuring feeling when making such a personal decision.

See your new self in advance

With state-of-the-art 3D simulation (Crisalix®), patients can experience together with Dr Matiasek what the possible result could look like before the operation. This preview provides clarity, makes decisions easier and gives confidence. Many women report that this step has helped enormously to reduce anxiety and to look forward to the new body image.

What advantages does Preservé™ technology offer you?

 

Preservation of the natural breast anatomy

Lecturer Dr Matiasek emphasises that breast augmentation is not just about beauty, but also about preserving natural structures. With the Preservé™ technique, muscles, glandular tissue and connective tissue remain intact. This means that the breast remains functional - and the ability to breastfeed is also fully preserved.

Sensitivity and naturalness

As the tissue is not severed, the sensation in the breast is retained. Patients report that their breasts remain just as sensitive after the procedure as before. The result also blends in harmoniously with the natural appearance, without the „operated“ look that many women want to avoid.

Less pain and minor scars

The minimally invasive approach minimises the strain on the body. This means less pain after the operation and a quick recovery. At the same time, there are only small, inconspicuous scars that become almost invisible over time.

Stability and security

The implants are embedded in the tissue in such a way that they sit firmly and stably. Slippage is virtually impossible, which means important long-term safety for patients.

Quick return to everyday life

Many women are able to return to work after just a few days. Even light sporting activities can be resumed early on, while more intensive training is possible again after a few weeks. This short downtime makes the Preservé™ technique particularly attractive for professionally active or busy patients.

Which implants does Dr Matiasek use?

With the Preservé™ technique, Dr Johannes Matiasek works exclusively with the latest implants from Motiva® in his practices in Vienna and Schladming. He uses the Ergonomix2® series, which has been developed to adapt to the natural movement of the body. As a result, the breast not only looks particularly harmonious, but also feels soft and authentic to the touch - just as if it had always been shaped like this. It is precisely this natural impression that many patients appreciate.

 

Motiva® implants also offer a range of innovative features:

  • The SmoothSilk® surface ensures particularly good compatibility and minimises the risk of complications.
  • TrueMonobloc+® technology combines the shell, patch and silicone gel into a stable unit so that the implant remains flexible, resilient and dimensionally stable at the same time.
  • Inside is ProgressiveGel Ultima®, a silicone gel that mimics natural breast tissue in a deceptively realistic way. It is soft, elastic and adapts smoothly to movements.
  • An additional safety layer called BluSeal+® makes the integrity of the implant verifiable at all times - an important detail that gives patients additional security.

Zen® technology is also particularly innovative. This is a tiny, invisible microchip that stores the implant's most important data. This information can be read out digitally and easily at any time without the need for additional surgery. This technology can also be used with imaging procedures such as an MRI without any problems. This makes aftercare simpler, clearer and much more convenient for patients, as no documents need to be kept or retrieved years later.

All these features pursue a common goal: maximum safety and state-of-the-art technology, combined with a result that not only looks natural, but also feels that way.

Safety and guarantee

In addition to modern implant technology, Dr Johannes Matiasek attaches particular importance to long-term safety and security for his patients. Together with Motiva®, he offers comprehensive guarantee programmes that go far beyond the actual procedure.

This includes the Always Confident Warranty®, a lifetime guarantee against implant rupture. In the event of capsular fibrosis at a higher stage (Baker III or IV), a product replacement policy also applies, which enables the implant to be replaced free of charge. As part of the Preservé™ technique, patients also automatically receive a five-year extended warranty at no additional cost.

Another offer is the Woman's Choice Programme®. This programme provides patients with financial support of up to USD 1,500 if they decide to have their implants removed within a certain period of time.

With these guarantees, women can rest assured that they are not only medically but also financially protected. This is precisely what is important to Dr Matiasek: every patient should not only feel comfortable and beautiful with their decision, but also know that they are protected in the long term.

How does a treatment with the Preservé™ technique work?

One breast augmentation is a personal step, and this is exactly how lecturer Dr Johannes Matiasek organises the entire process.

It all starts with a detailed consultation in the surgery in Vienna or Schladming. Dr Matiasek takes the time to understand your wishes and expectations in detail and explains the various options available to you. With a 3D simulation using Vectra and Crisalix, you can see in advance what your breast could look like after the procedure. This gives you peace of mind and makes the decision easier.

On the day of the operation, the procedure is performed in a relaxed atmosphere. Dr Matiasek inserts a balloon expander through a small incision in the underbust crease, which gently stretches the tissue. This prepares the implant pocket without damaging muscles or tissue. The implant is then inserted completely hygienically using a special system without coming into contact with the skin. The operation takes around half an hour. After a short recovery period, you can leave the practice.

What should you bear in mind after the operation?

After breast augmentation using the Preservé™ technique, most women feel fit again more quickly than they would have expected. Showering is permitted the very next day and most women are able to return to work after just a few days. Gentle exercise such as walking or light yoga is possible from the second week, while intensive sport can be resumed after four to six weeks.

For a stable and beautiful result, it is important to wear the specially customised healing bra consistently and to consciously allow yourself to rest during the first few days. Lecturer Dr Johannes Matiasek follows his patients closely during this phase and regularly monitors the healing process. Through personalised aftercare consultations and modern examinations, he ensures that everything is developing optimally.

Gentle breast augmentation with safety and naturalness

Many women choose Dr Johannes Matiasek because he combines medical precision with empathy. With the Preservé™ technique, he offers an innovative and particularly gentle method of breast augmentation that does not require a general anaesthetic and preserves the natural breast structure. This approach is complemented by state-of-the-art implants and comprehensive guarantees that provide long-term safety.

However, the personal support is particularly appreciated: Dr Matiasek takes time for an honest consultation in his surgeries in Vienna and Schladming and is at his patients' side from the first consultation to full recovery. The result is not only gentle and natural, but for many women it also means a new, self-confident attitude to life.

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private -Doc. dr
Johannes Matiasek

Specialist in plastic, aesthetic and reconstructive surgery

My name is Priv.-Doz. dr Johannes Matiasek and I will help you to realize your personal and natural ideal of beauty. You will also master life with more self-confidence. Achieving this not only requires a high level of expertise on the medical side, but also years of relevant experience and a keen sense of uniqueness. I bring all these resources with me. The combination of my well-founded training as a specialist in plastic, reconstructive and aesthetic surgery with a deep empathy for the wishes and needs of my patients means that your beauty and health harmonize as best as possible with my treatments.

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