Preservation Breast Augmentation
in Miami, FL
Modern aesthetics revolve around subtlety. Refinement that looks natural and effortless, even up close. Preservation Breast Augmentation is a new contemporary technique that stays ahead of the beauty standards of today. Designed to enhance shape while maintaining the integrity of natural breast tissue, this procedure allows for a smoother recovery and softer, more organic result. At Zuri Plastic Surgery in Miami, Dr. Alexander Zuriarrain approaches enhancement through preservation, shaping with restraint and respect for natural anatomy. With the most modern technique, The Preservé, Dr. Zuriarrain redefines what it means for augmentation to look and feel like your own while restoring what you lost.
Traditional breast augmentation often creates a pocket by lifting the pectoralis major muscle or dissecting through supportive structures. It works, but the trade-offs can include more swelling, longer recovery time, and movement changes when the chest flexes. Preservation shifts the focus. Instead of breaking what nature built to support the breast, The Preservé keeps key structures like ligaments, fascia, and blood supply intact while crafting a precise breast pocket that welcomes the implant with minimal disruption. The pocket is typically made in the subfascial plane (beneath the thin fascial layer that sits on the chest muscle). That plane provides soft coverage and structural support without cutting into the muscle. The goal is fewer issues with movement, a more natural feel, and natural-looking results that retain their shape as swelling fades. For many patients, it’s the difference between “augmented” and “seamless.”
Miami is a city that understands aesthetics. The Preservé fits right in. Dr. Zuri’s technique starts with a detailed reading of your breast anatomy. Skin quality, breast tissue thickness, height of the chest wall, and desired breast shape. Pocket design follows that blueprint. The incision (most often a fine line in the inframammary fold) is small and purposeful. Internal work is measured and meticulous to minimize risks, protect sensation, and avoid unnecessary scar tissue. Implant placement is subfascial by default, though Dr. Zuri will select the plane that best fits your anatomy. You’ll talk through implant types (silicone implants and saline implants), implant sizes, and profiles to match your frame and aesthetic goals. The entire plan is shaped by an individualized treatment plan—clear expectations, conservative tissue handling, and a pocket tailored for optimal results.
If you want refined breast enhancement that honors what your body already does well, preservation may be the fix. Ideal candidates are in good overall health, at a stable weight, and have decent skin elasticity without significant sagging. If mild deflation or loss of upper pole fullness is the main issue, Preservé offers a balanced lift in breast volume and shape without overbuilding.
When there’s notable laxity or excess skin, a breast lift (mastopexy) can be paired with augmentation to reposition the nipple-areola complex and refine projection. That’s the advantage of working with a board certified plastic surgeon: the plan fits the patient, not the other way around. At consultation, we’ll also review medical history, any prior breast surgery or breast reduction, and discuss how factors like weight fluctuations can influence long-term results.
Preservation augmentation is particularly effective when you want proportion and authenticity. It can improve mild asymmetry, restore breast size after pregnancy, refine shape for a cleaner contour, and reduce the noticeable signs of having implants (e.g., rippling or visible implant edges in thin-tissue patients). Athletes appreciate less implant motion with strenuous exercise. Fashion-minded patients like how clothing fits the new body shape without broadcasting surgery. Many patients also choose preservation for a first surgery precisely because it supports easier breast revision options later, if needs change.
Your consultation will be unhurried and honest. We begin with a hands-on physical examination, where we measure the base width, note tissue thickness, assess nipple position, and map the chest wall. We review before and after photos for a shared sense of taste. We talk candidly about realistic expectations. You’ll see and feel sizers; we’ll discuss round implants vs. other form factors, gel cohesivity, and why smaller implants can sometimes create the most expensive-looking results.
In preparation, we'll ask that you stop smoking, pause supplements that increase bleeding, arrange a ride, and plan a calm first week. We’ll discuss pain management and the surgical bra you’ll wear to support shape as the healing process begins. If you’ve had prior surgery elsewhere (including work by other surgeons), bring your records; we’ll review implant data, pocket plane, and any history of capsular contracture. In revision cases, we sometimes consider tools like acellular dermal matrix to reinforce soft-tissue support.
Breast augmentation with The Preservé is performed under general anesthesia in our AAAASF-accredited surgery center. After marking, a discreet inframammary incision provides clean access. Dr. Zuri develops the subfascial plane with meticulous care, protecting sensory nerves, preserving blood supply, and keeping the chest muscle intact. The pocket is dialed in for projection, not too wide, not too narrow, so the implant rests where a youthful breast would naturally sit. Implants are placed with no-touch technique to reduce bacterial contamination, which helps lower the risk of capsular contracture. Closure is layered with fine sutures to encourage thin, faint lines rather than thick, raised scars. You’ll head home the same day with detailed instructions and direct contact for any questions. For most patients, patients recover with little drama: pressure more than pain, support more than restriction.
The first few days bring fullness and tightness. This is normal. Most people are back to light life within a week, desk work soon after. Walking is encouraged early to support circulation. Heavy lifting and high-impact exercise wait for clearance. Your surgical bra stays on as the implants settle; sleeping elevated helps swelling move along. Expect the shape to settle and look especially good between weeks four and twelve as the pocket relaxes and the lower pole softens. Because the pectoralis major muscle stays untouched, there’s usually less animation and less need to work against muscle memory. Sensation tends to return quickly. Follow-ups are scheduled to track your healing progress, fine-tune scar care, and talk about the little things that make results sing—posture, wardrobe, even how to support the line through the clavicle to the waist.
Traditional breast augmentation under the muscle remains a solid option for the right patient. But for many women, subfascial preservation offers a cleaner path to a natural drape without the trade-offs of muscle elevation. Less pocket trauma. Less distortion with motion. Greater ease if you lift, train, or simply want your chest to move like a chest, not a signal light. Preservation is not hype; it’s refinement.
Silicone implants provide the most natural feel in thin-tissue patients; saline implants have advantages in adjustability and incision size. We’ll talk cohesivity, profile, base width, and how implant placement can flatter your ribcage and shoulders. Pocket design is where surgical techniques matter: a millimeter or two of dissection can change the way the lower pole opens, the way light hits the upper pole, the way a dress hangs. This is the part you don’t see, but you feel every day.
Pain Management, Safety, and Protocols
Pain is managed with a modern, layered plan. Local field blocks, anti-inflammatories, and non-narcotic strategies keep the head clear and the body comfortable. Zuri Plastic Surgery follows strict, AAAASF-level safety protocols. Sterility, temperature, antibiotics when appropriate, and careful surveillance for the uncommon but real risks of any cosmetic procedure (bleeding, infection, delayed healing). Thoughtful steps, taken every time.
The cost of preservation breast augmentation in Miami varies with implant types, case complexity, and whether we combine procedures (for instance, a breast lift if excess skin needs to be tightened). Your quote will clearly outline the surgeon’s fee, anesthesia costs, accredited facility fees, implants, and all routine post-op visits. No hidden lines. If helpful, we can discuss financing (both in-house and third-party) so the timeline matches your life, not the other way around.
You want a board certified plastic surgeon who treats your anatomy like a privilege, not a problem to solve. Dr. Alexander Zuriarrain is board-certified, known for attention to detail, and trusted for outcomes that look and feel natural. The practice is private, accredited, and built around a standard of care that emphasizes safety, discretion, and results that hold up in real life, not just photos. Patients come from all across Florida for a reason: the work is refined, the experience calm, and the follow-through meticulous.
Talk shape, proportion, and comfort by meeting with Dr. Zuri today. We design a personalized treatment plan for every preservation breast augmentation Miami patient, so everyone gets a soft, elegant change that lasts. Call 786.804.1603 or request your consultation online. Bring your questions. Bring your taste. We’ll bring the plan.
Most patients describe pressure more than pain. With layered pain management, discomfort tapers quickly in the first week.
Desk work in a few days, daily errands within a week, strenuous exercise after clearance. Your exact timeline depends on tissue quality and healing.
Yes. Because milk ducts and supportive tissue are preserved, many patients maintain the ability to breastfeed.
Implants aren’t lifetime devices, but preservation pocket design supports stable shape and a long, natural arc to your results.
Preservation often makes future breast revision more straightforward by protecting tissue planes and minimizing unnecessary scarring.
Get a one on one consultation with Dr. Z in his beautiful practice in Miami, FL
7540 SW 61 Ave, South Miami, FL 33143
Alexander Zuriarrain, MD, FACS is a Quadruple Board-Certified Plastic Surgeon who practices in Miami, Florida.
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Join quadruple board-certified plastic surgeon Dr. Alexander Zuriarrain at his beautiful practice in Miami for a consultation. With more than 8,000 surgeries performed, Dr. Z has the skills and the experience to provide you with beautiful results.
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