Plastic Surgery Untold: What Is Breast Preservation?

You’ve heard the buzz about breast preservation surgery — but what is it, really? On this episode of Plastic Surgery Untold, Dr. Franco breaks down what sets this approach apart and how it fits into the world of breast enhancement.

Breast preservation focuses on enhancing shape over size, using a technique that maintains your natural anatomy and often allows for a faster, more comfortable recovery. It’s an exciting option for the right patient — but it’s not the only one. For others, more traditional implants or placement methods may still be the better fit based on their goals and anatomy.

Some highlights:

• No general anesthesia required: Most patients undergo light sedation, making for a smoother recovery.

• Shape-first approach: Best for patients who want subtle enhancement or upper pole fullness without significant volume increase.

• Preserves supportive structures: Rather than cutting ligaments, they’re carefully moved to create a secure “nesting” effect for the implant.

• Minimal incision: As small as 1.8 cm, for less visible scarring and a more discreet result.

• Custom placement: Allows for volume where it's needed most, without unnecessary bulk where natural volume already exists.

Whether you’re exploring subtle changes or looking for more dramatic volume, breast preservation is one of several thoughtful approaches — and the best results come from matching the right technique to the right patient.

Watch or listen to the full episode of Plastic Surgery Untold to learn more and see the technique in action on YouTube or your favorite podcast platform.