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Preservé breast augmentation
Tissue-preservation breast augmentation – more natural, safer, more durable

Breast augmentation is one of the most commonly performed aesthetic procedures worldwide. At the same time, our experience shows that traditional techniques are not ideal for every breast. That is why, at Gooimeer Clinics, we work with the Preservé tissue-preservation technique — a modern method designed to preserve breast tissue, nerves and blood supply as much as possible.

We were the first clinic in the Netherlands to apply the Preservé technique. Dr. Van der Pot gives international lectures on this approach and has developed extensive medical illustrations to teach this technique worldwide.

The goal:

  • a more natural shape

  • softer breasts

  • better preservation of sensation

  • less capsular contracture

  • a longer-lasting result

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What is a Preservé breast augmentation?

In a traditional breast augmentation, a pocket is created by separating the breast tissue from the underlying layer. This makes room for the implant, but inevitably causes tissue trauma. With the Preservé technique, the implant is placed in a natural anatomical space behind the breast tissue, without cutting the breast tissue loose. The breast tissue largely remains intact and connected to:

  • blood vessels

  • nerves

  • supportive ligaments

This helps keep the breast biologically preserved “as one unit.”

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Breast augmentation explained

Watch a video about tissue preservation during breast augmentation here

More information

Click on a topic for more information

01 Why tissue preservation?

The breast is not an empty skin envelope, but a complex living organ.
When you minimise damage to this tissue:

  • healing is faster

  • sensation is better preserved

  • less scar tissue forms

  • the risk of capsular contracture is lower

  • the breast feels more natural

This is exactly the philosophy behind Preservé.

02 Who is Preservé suitable for?

The Preservé technique is particularly suitable for:

  • primary breast augmentation

  • sufficient existing breast tissue thickness

  • a desire for a natural feel and soft breasts

  • small to medium-sized augmentations

During the consultation, we always assess whether your anatomy is suitable for this technique. Not every breast is the same — a tailored approach is key.

03 Our experience and expertise

Bij Gooimeer Clinics behoort borstchirurgie tot onze kernspecialisaties. Wij behandelen dagelijks complexe borstcorrecties — waaronder tubereuze borsten, revisiechirurgie en tissue preservation technieken.

Dokter Van der Pot en dokter Ahmed:

  • presenteren hun technieken op internationale congressen

  • verzorgen live surgery demonstraties

  • publiceren en ontwikkelen onderwijsillustraties

  • behoren tot een selecte groep Europese chirurgen die Preservé structureel toepassen

U kiest dus niet alleen voor een techniek, maar voor bewezen ervaring.

04 The procedure

  • Surgery under general anaesthesia

  • Duration: approx. 60–90 minutes

  • Usually performed as day surgery

  • Incision in the inframammary fold (breast crease)

  • The implant is placed in a natural anatomical space

  • No detachment of the breast gland/tissue

05 Recovery

  • Faster recovery than traditional techniques

  • Less swelling

  • Earlier return to daily activities

  • Return to sport after approx. 4–6 weeks

06 Result

  • Naturally falling breast shape

  • Softer feel

  • A beautiful upper pole without a “push-up look”

  • Long-term stability

Not excessively large.
Perfectly in balance.

07 Safety

Even with Preservé, implants remain medical devices.

Risks such as infection, bleeding or capsular contracture are always possible — but tissue preservation has been shown to reduce certain risks.

During the consultation, we always discuss:

  • your individual anatomy

  • the most suitable implant choice

  • realistic expectations

  • all potential complications

go to the FAQ

Before and after

What to expect after this treatment

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Short explanations

Click on the video to find more information about this treatment

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Personal consult

Together, we will find the treatment that suits you best, with personal attention and honest advice.

Preservé breast augmentation focuses on a natural result with maximum tissue preservation. Instead of surgically separating the breast tissue, the implant is placed in an anatomical space behind the breast tissue, aiming for a softer feel, better sensation preservation and long-term stability. During the consultation, we take the time to assess your anatomy, goals and risk profile, and create a tailored plan — with honest advice on what is worthwhile and what is not.


During the consultation, you will receive:

an anatomical assessment: tissue thickness, breast base width, skin quality, symmetry, inframammary fold and nipple position

Preservé suitability: whether your anatomy is appropriate for a tissue-preservation approach and what enlargement is realistic

implant selection: diameter, projection, shape and placement to match your chest and desired look (not just “more cc”)

expected look & feel: what to expect in terms of softness, natural movement and sensation, and how this evolves during healing

safety and risks: explanation of general risks (bleeding, infection), capsular contracture, sensation changes and implant-related considerations, including how to reduce risks

incision and scarring: inframammary fold incision, wound healing and scar care

recovery planning: the first weeks, bra guidance, return to work/sport, and what is considered normal healing

combination options: when fat grafting can refine transitions (cleavage/upper pole) and when it is not recommended

example results and a personalised treatment plan with transparent pricing


Would you like to know whether Preservé breast augmentation fits your anatomy and goals?

Then we invite you for a personal consultation at Gooimeer Clinics.

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Frequently asked questions

Click on an questions to see the answer

  • What exactly is Tissue Preservation (Preserve®) in Preserve Breast Augmentation?

    In Preserve Breast Augmentation using Tissue Preservation (Preserve®), we respect the tissues as much as possible and create the implant pocket in a controlled way, often with the help of a balloon. This forms a supportive “nest” for the implant. Many patients experience less tissue trauma, often a more comfortable recovery, and a more natural shape.

  • In Preserve Breast Augmentation, is the implant usually placed over the muscle?

    In Preserve Breast Augmentation, the implant is often placed over the muscle because this is frequently more comfortable and can look very natural. However, it is not a one-size-fits-all approach. With thin tissue coverage or certain breast shapes, a partial or full under-the-muscle placement may be preferable. We determine the best placement based on your anatomy and your goals.

  • Will Preserve Breast Augmentation give me a very round or “fake” look?

    Not if that is not what you want. The guiding principle of Preserve Breast Augmentation is a natural result that fits your body. Implant width, projection, and placement largely determine the final look. During your consultation, we tailor these choices carefully and also discuss what is and isn’t realistic for your tissues.

  • Does fat grafting really help create nicer cleavage with Preserve Breast Augmentation?

    With the right indication, yes. In Preserve Breast Augmentation, fat grafting can soften the implant edges and create a more natural transition, especially in slimmer patients or when a softer cleavage is desired. However, it isn’t always necessary and isn’t always the best option—this is discussed openly during your consultation.

  • How long until I can exercise again after Preserve Breast Augmentation?

    After Preserve Breast Augmentation, many patients can start gentle lower-body training at around 3 weeks. Heavier workouts and upper-body training are usually built up after about 6 weeks, depending on your recovery and the technique used. You will receive a clear step-by-step return-to-exercise plan.

  • How long do implants last after Preserve Breast Augmentation?

    Implants used in Preserve Breast Augmentation are durable, but they are not guaranteed “for life.” Many women wear them without issues for a long time. We recommend regular follow-up and prompt assessment if you notice changes or develop symptoms. During your consultation, we also discuss follow-up and potential imaging in the future.

  • What are the most common complications of Preserve Breast Augmentation?

    The most common after-effects after Preserve Breast Augmentation are temporary swelling and tenderness, and sometimes a temporary sensation change (neuropraxia). More serious complications such as bleeding or infection are less common, but they are always taken seriously. We explain how we reduce risks and what we do if they occur.

  • Do I need to stay overnight after Preserve Breast Augmentation?

    Usually not. Preserve Breast Augmentation is typically a day-case procedure. We do recommend that someone stays with you for the first night. In certain situations, an overnight stay may be appropriate; this is discussed in advance.

  • Can I breastfeed after Preserve Breast Augmentation?

    In many cases, yes. With Preserve Breast Augmentation, this depends on the incision choice and your starting anatomy. We discuss future pregnancy and breastfeeding plans explicitly during the consultation and choose the technique that best supports those goals.

Other treatments

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Experiences

At 58, I felt healthy and full of energy, but my reflection no longer matched how I felt inside. After extensive research, I chose Dr. Wouter van der Pot because of his natural-looking results. The deep plane neck and facelift was far easier than expected: I experienced no pain, recovered quickly, and was back at work after just ten days. Three months later, I am 100% happy with the result and ...

Very friendly, skilled plastic surgeon. Gives personal attention, listens to you, and takes time for you. The end result of a face and neck lift is natural and beautiful. If you have any questions after the treatment, you can always contact them and they will help you.

...

Professional, neat, honest! That's how I would describe Dr. Ahmed. I didn't experience any pain, and it already looks beautiful! The wounds are barely visible... and it's only been four weeks. I hesitated for years, but when I walked in here, I knew for sure! I'm going for it. I would advise everyone to go to Dr. Ahmed!

...

I hesitated for so long about this procedure, but I should have done it much earlier. Dr. Ahmed is knowledgeable, clear, and above all very honest about the procedure and the results. The operation is tough, and you really need to take the time to recover. Fortunately, I had little pain and am now very happy with the result. I would recommend Dr. Ahmed!

...

I came in for eyelid surgery and was advised to also have a forehead lift. Dr. Ahmed was right, and I am so happy with the results. Everything was explained clearly. The anesthesia was painful and unpleasant, but I had no pain afterwards. The results are beautiful, and I have received many positive comments from those around me.

I was treated kindly throughout the entire process and felt ...

Friendly and professional approach from all staff members. Comprehensive and careful information before and after the procedure. Dr. Ahmed did a wonderful job. I am very happy with the result.

...
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