Dr Armand AzencotBreast surgery · Bordeaux
The procedures
Breast reconstruction
Minimally invasive techniquePreservéA 2 cm micro-incision, no muscle detachment, under local anaesthesia with sedation.
Consultation

Clinique Esthétique Ferrère
16 ter rue Ferrère, 33000 Bordeaux

05 56 79 02 02Book a consultation

The technique

The Preservé technique

A two-centimetre micro-incision, a pocket created with an inflatable balloon without detaching the tissues, local anaesthesia with sedation. A lighter procedure, for a faster recovery.

Duration
1 h
Anaesthesia
Local, with or without sedation
Stay
Day case
Recovery
3 to 5 days

Figures confirmed by the surgeon; they vary from case to case and are specified in consultation.

The essentials

The four questions that come up

What is the Preservé technique?
A minimally invasive breast augmentation: the implant is placed through a two-centimetre micro-incision, and the pocket that receives it is created with an inflatable balloon, which preserves the surrounding tissues — hence the name of the technique.
Where is the scar?
Most often in the fold of the breast, for a very discreet scar. It measures two centimetres and, fine and concealed, becomes barely perceptible over time.
Is general anaesthesia required?
The operation can be performed under local anaesthesia with sedation, which avoids the side effects of a general anaesthetic and allows a more comfortable recovery from anaesthesia.
How quickly do you recover?
Recovery is fast: most patients return to their everyday activities within a few days, and can go home the same day.

An approach that combines comfort and precision

Minimally invasive breast augmentation is characterised by a modern approach that combines comfort and precision. Thanks to Motiva’s new generation of Preservé implants, it is now possible to obtain a harmonious result with a simpler, less painful operation and a much faster recovery, even allowing discharge from hospital the same day.

What Preservé means

The name comes from the procedure itself: the pocket intended for the implant is created with an inflatable balloon, which preserves the surrounding tissues instead of detaching them.

Minimally invasive surgery for a fast recovery

Minimally invasive breast augmentation allows the implant to be placed through a micro-incision of only two centimetres, most often made in the fold of the breast for a very discreet scar.

The pocket for the implant is created with an inflatable balloon, which preserves the surrounding tissues and explains the name of the Preservé technique.

The implant is introduced using an insertion sleeve called a Keller funnel, a sterile device that eases the passage of the implant while preserving the tissues. This technique reduces post-operative pain and considerably lowers the risks of inflammation or bleeding.

The operation can be performed under local anaesthesia with sedation, which avoids the side effects of a general anaesthetic and allows a more comfortable recovery from anaesthesia. Recovery is fast: most patients return to their everyday activities within a few days.

Dr Azencot in the operating theatre, wearing loupes and holding an instrument, assisted by the scrub nurse.
In the operating theatre. The precision of the procedure is what makes a two-centimetre incision worthwhile.

Local or general anaesthesia

Standard breast augmentation is performed under general anaesthesia. The Preservé technique can be performed under local anaesthesia, with or without sedation.

Local anaesthesia avoids the side effects of general anaesthesia, and avoids waking up from it, which can be uncomfortable. Discharge is on the same day. Most patients resume their daily activities within three to five days.

The type of anaesthesia is agreed between the doctor and the patient: pure local anaesthesia, or local anaesthesia assisted by sedation given by the anaesthetist. The appointment with the anaesthetist, if needed, is mandatory.

What makes the procedure lighter

The incision is two centimetres long. The space that receives the implant is created with an inflatable balloon, under the gland, without detaching the tissues. The implant is introduced using a sterile insertion sleeve called a Keller funnel. This reduces post-operative pain and lowers the risk of inflammation and bleeding. The space is created from the centre of the breast with the balloon, which respects the circumferential ligament, a guarantee of stability over time.

Not every breast is suited to it

Preservé implants go up to 320 cc. The desired volume, skin quality and tissue thickness determine the indication. And when a request for augmentation comes with ptosis, augmentation alone is not enough: the ptosis must also be corrected, with a mastopexy. The clinical examination decides.

An innovative implant technology

Implants suited to your morphology

Preservé implants incorporate the latest advances in Motiva research. Their silicone gel, soft and stable, adapts naturally to the movements of the body for a particularly natural look.

These implants are available in every volume up to 320 cc, allowing an augmentation perfectly suited to each patient’s morphology.

A technique followed closely

Dr Azencot took part in the first Preservé symposium, held with the 9th World Symposium on Ergonomic Implants in Šibenik, Croatia, in September 2025: minimally invasive implants through a two-centimetre incision, under local anaesthesia.

Natural and discreet results

The aim of this method is to restore volume to the breasts while preserving their movement and softness.

The breast remains soft, mobile and harmonious, without a fixed appearance. The scar, fine and concealed, becomes barely perceptible over time.

This minimally invasive approach offers a modern alternative to traditional breast surgery: a lighter, faster and better tolerated operation, for a result that is both aesthetic and natural.

The choice is made in consultation

Not every breast is suited to this technique: the volume wished for, the quality of the skin and the thickness of the tissues determine the indication. The clinical examination retains it or sets it aside, in favour of another incision.

Frequently asked questions

What patients ask

These answers reflect the content written and validated by the surgeon. Each one is written to stand alone, question by question.

Is the scar really smaller?
The incision measures two centimetres, compared with four to five for a classic inframammary approach. It is most often made in the fold of the breast, which conceals it.
Why is the technique called Preservé?
Because the pocket intended for the implant is created with an inflatable balloon, which preserves the surrounding tissues instead of detaching them.
What is the insertion sleeve for?
The insertion sleeve, called a Keller funnel, is a sterile device that eases the passage of the implant through a reduced incision, while preserving the tissues. It reduces post-operative pain and lowers the risks of inflammation or bleeding.
Can I go home the same day?
The operation allows discharge the same day. It can be performed under local anaesthesia with sedation, which avoids the side effects of a general anaesthetic.
Do I need someone to accompany me?
It is always better to have someone with you when you leave, but it is not mandatory under local anaesthesia.
Up to what volume?
Preservé implants are available in every volume up to 320 cc. Beyond that, another technique will be proposed in consultation.
Is this technique suitable for every case?
No. The volume wished for, the quality of the skin and the thickness of the tissues determine the indication; the clinical examination retains it or sets it aside.
Can fat transfer be combined with the Preservé technique?
Yes, but it lengthens the procedure and the amount of local anaesthetic, so it is judged case by case.
Which implants are used?
Motiva Preservé implants, whose silicone gel is soft and stable. They are available in all volumes up to 320 cc.
In which plane is the Preservé implant placed?
Always behind the gland.
What is the aim of the technique?
To restore volume to the breasts while keeping their movement and suppleness, with a fine scar placed in the breast fold.
How long does the operation take?
About one hour, under local anaesthesia with or without sedation, as day surgery. Activities are resumed after 3 to 5 days.
When can I resume sport and carrying loads?
Sport and loads: 2 to 4 weeks.
Has the surgeon trained in this technique?
Dr Azencot took part in the first Preservé symposium, held alongside the 9th World Symposium on Ergonomic Implants in Šibenik (Croatia) in September 2025.
Can breast augmentation be done under local anaesthesia?
Yes, with the minimally invasive Preservé technique: it can be performed under local anaesthesia, with or without sedation. Standard augmentation is performed under general anaesthesia. The clinical examination decides whether the technique suits you.
What are the advantages of local anaesthesia?
It avoids the side effects of general anaesthesia, and avoids the more uncomfortable waking up from it. Discharge is on the same day, and activities resume after 3 to 5 days.
Who decides the type of anaesthesia?
It is agreed between the doctor and the patient: pure local anaesthesia, or local anaesthesia assisted by sedation given by the anaesthetist.
Can I choose general anaesthesia?
With Preservé, yes, but it removes one of the advantages of the minimally invasive approach.
Is the operation painful?
The operation is less painful than a standard augmentation because the pocket is under the gland, the space for the implant is made by a balloon that stretches without cutting anything, and the scar is smaller. Long-acting local anaesthetics can be injected directly into the operated area, and painkillers are prescribed.
Does it hurt during the operation? Am I conscious under local anaesthesia?
No pain during the operation, but you hear what is going on around you and feel that work is being done on you, as for a caesarean section. Sedation, if you ask for it, makes you drowsy without intubation: you breathe on your own.
Why is recovery faster?
Because the implant space is created with an inflatable balloon, which preserves the tissues instead of detaching them. The implant passes through a two-centimetre incision. And general anaesthesia can be avoided.
How does it differ from standard breast augmentation?
Standard augmentation is performed under general anaesthesia, through a 4 to 5 cm incision in the breast fold, as day surgery or with one night in hospital; activities resume after 5 to 7 days. With the Preservé technique, the incision is 2 cm long, the anaesthesia can be local, discharge is on the same day and activities resume after 3 to 5 days. Preservé implants go up to 320 cc.
How much does a breast augmentation with the Preservé technique cost?
From €6,900. All prices are on the Fees page.
Is the technique suitable if my breasts sag?
The Preservé technique is an augmentation. When a request for augmentation comes with ptosis, augmentation alone is not enough: the ptosis must also be corrected. The clinical examination determines what suits your breasts.
What tests are needed before the operation?
As for any breast surgery, imaging may be prescribed at the consultation, as well as a blood test depending on the case. The appointment with the anaesthetist, if needed, is mandatory.

Glossary

The words on this page

The terms used here, each defined in a sentence in the site’s glossary.

Meet us

Consultation

A first consultation is there to understand your request and tell you what is possible — including when the answer is that it is better to do nothing.

Clinique Esthétique Ferrère

16 ter rue Ferrère
33000 Bordeaux

05 56 79 02 02
ConsultationsBy appointment, Monday to Friday, 9 am to 1 pm and 2 pm to 6 pm
Quotegiven in consultation
Cooling-off period15 days minimum
The reception desk of the Clinique Esthétique Ferrère in Bordeaux
The reception, 16 ter rue Ferrère

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