FAQ Breast Surgery:

Here you’ll find answers

to the most frequently asked questions

The Motiva Insertion Sleeve is a cone-shaped device made of medical-grade plastic that allows silicone breast implants to be inserted smoothly and gently during breast augmentation, for example when using the PRESERVÉ™ method by Motiva with SmoothSilk® Ergonomix2® implants.

The implant slides through the Motiva Insertion Sleeve directly into the implant pocket without coming into contact with the skin or wound edges. This approach is known as the no-touch technique.

By avoiding direct contact with the skin, the technique aims to reduce the risk of bacterial contamination of the implant. The intention is also to help prevent potential infections and capsular contracture (hardening of the tissue surrounding the implant).

The Motiva Insertion Sleeve allows the implant to be inserted through a small skin incision, which may help limit the length of the resulting scar. In addition, the technique aims to minimise mechanical stress on the breast implant during insertion.

The tissue channel created above the pectoral muscle using the Motiva® Channel Separator prepares the way for the subsequent insertion of the Motiva balloon expander, which gradually stretches the tissue before the SmoothSilk® Ergonomix2® implant is positioned using an insertion sleeve (Keller Funnel).

The Motiva® Inflatable Balloon is a sterile, single-use surgical instrument available in various sizes. It has been specifically developed for minimally invasive breast augmentation and reconstruction using the PRESERVÉ™ method by Motiva.

The Motiva Channel Separator is a sterile, single-use surgical instrument specifically developed for minimally invasive breast augmentation and reconstruction using the PRESERVÉ™ method by Motiva.

The instrument measures approximately 24 cm in length and features a 2 cm wide shaft, designed for use through very small incisions, as well as a symmetrical design.

It features a specialised three-point tip system that enables circular, atraumatic movements. Rather than cutting or cauterising the tissue, the blunt instrument gently and precisely separates and displaces the natural tissue layers along the anatomical plane, creating a tunnel towards the intended position above the pectoral muscle.

The PRESERVÉ™ method is a particularly tissue-preserving, minimally invasive technique for breast augmentation with implants, offered at Wolff & Edusei Clinic in Berlin. Dr med. Isabel Edusei and Dr med. Andrea Wolff are the first female surgeons to have supported the introduction of this innovative surgical technique in Berlin. Rather than using an open dissection technique to create an implant pocket, the breast tissue is stretched from within, above the pectoral muscle. A MOTIVA Ergonomix® 2 implant is then precisely inserted through a very small incision, almost like a keyhole procedure. The aim of this approach is to preserve the natural structures of the breast as far as possible and allow for a comparatively short recovery period.

In conventional breast augmentation, the implant pocket is created by surgically dissecting the breast tissue. Depending on the technique used, this may involve greater stress on the surrounding tissue structures and a longer recovery period. If the implant is placed beneath the pectoral muscle, movement-related discomfort may occur, particularly during physical activity.

The PRESERVÉ™ method is one of the various breast augmentation techniques offered at Wolff & Edusei Clinic in Berlin. The main difference lies in how the implant pocket is prepared: rather than extensively dissecting the tissue, the required space is gradually created through controlled stretching using specially designed instruments. The implant, often a MOTIVA Ergonomix® 2 implant, is then inserted through a small incision in the inframammary fold (the crease beneath the breast).

This approach focuses on preserving the existing tissue structures as far as possible. The limited tissue dissection aims to minimise surgical stress on the breast tissue. Depending on individual circumstances, this may offer benefits in terms of postoperative discomfort and recovery time. The aim is to achieve a breast shape that harmonises with the natural proportions of the body and feels as soft as possible.

Breast augmentation using the PRESERVÉ™ method is suitable for patients who wish to achieve a natural-looking breast shape and prefer a tissue-preserving surgical approach.

Whether this procedure is suitable for you personally depends on your individual anatomy and aesthetic expectations. This surgical technique is not appropriate for every patient. In some cases, combining the procedure with a breast lift (mastopexy) and autologous fat transfer (lipofilling) may be beneficial to achieve the best possible aesthetic outcome.

At Wolff & Edusei Clinic in Berlin, Dr Isabel Edusei and Dr Andrea Wolff provide personalised consultations to help you choose the most suitable surgical technique and implant size for your individual needs. You can conveniently book your consultation appointment online via our website.

At Wolff & Edusei Clinic in Berlin, the process begins with a physical examination and a comprehensive consultation with one of our specialists in Plastic and Aesthetic Surgery, Dr med. Andrea Wolff or Dr med. Isabel Edusei. Once you have decided to undergo the procedure, breast augmentation using the PRESERVÉ™ method is usually performed under sedation (twilight anaesthesia) at our Berlin clinic.

The procedure can be combined with autologous fat transfer (known as lipofilling) to create a smoother transition between the natural breast tissue and the implant if there is insufficient tissue coverage, as the implants are positioned above the pectoral muscle. MOTIVA Ergonomix® 2 implants are inserted through a small incision. Depending on the individual findings, the procedure may be performed on an outpatient basis.

After breast augmentation using the PRESERVÉ™ method, a compression bra specially fitted to the patient is applied and should be worn for the following six weeks. It supports the healing process, provides stability and ensures a comfortable fit during the sensitive initial recovery phase. A special stabilising band, known as a Stuttgart belt, helps stabilise the implants from above and can usually be removed after one week.

Thanks to the tissue-preserving, minimally invasive surgical technique and modern pain management, most patients generally feel comfortable again after a short period. They can usually resume social activities immediately and return to work after just a few days. Light sporting activities can generally be resumed after three weeks. However, strenuous sports and activities involving overhead movements, such as tennis and volleyball, should be avoided for six weeks.

Most of our patients find that the greatest challenge is having to sleep on their backs for six weeks after surgery. This recommendation generally applies to all breast surgery procedures. Our specialists in Plastic and Aesthetic Surgery, Dr Isabel Edusei and Dr Andrea Wolff, will provide you with detailed, personalised advice so that you know what to expect during your individual recovery period.

All follow-up examinations and aftercare following breast augmentation using the PRESERVÉ™ method take place directly at our clinic in Berlin. The first follow-up appointment is usually scheduled within the first two days after surgery. During this appointment, the surgical wounds are examined and the fit of the compression bra is checked. Further follow-up examinations are then arranged at individually determined intervals, typically after approximately two weeks (suture removal) and six weeks (approval to stop wearing the compression bra).

Our specialists in Plastic and Aesthetic Surgery, Dr Andrea Wolff and Dr Isabel Edusei, personally support you from your initial consultation through surgery to complete healing, with the highest standards of safety, natural-looking results and aesthetics.

Minimally invasive breast augmentation refers to a particularly tissue-preserving surgical technique that requires only very small skin incisions in the inframammary fold (the crease beneath the breast).

Rather than extensively dissecting the tissue with a scalpel, a specially designed instrument (Motiva® Channel Separator) is used to gently separate the breast tissue from within, creating a tunnel without cutting through the tissue. The Motiva® Inflatable Balloon is then used to carefully stretch the tissue to the required volume, allowing the implant pocket to be precisely prepared.

Breast augmentation is always a very personal decision. In addition to medical considerations, questions relating to body proportions, the desired outcome, the healing process and aftercare also play an important role.

Particularly with modern surgical techniques such as the PRESERVÉ™ method, it is important to carefully assess whether the procedure is genuinely suitable for your individual circumstances. Not every anatomical situation can be treated using the same approach.

At Wolff & Edusei Clinic in the heart of Berlin, Dr med. Andrea Wolff and Dr med. Isabel Edusei therefore take the time to provide honest, professional and personalised consultations tailored to your individual needs.

The question of sleeping positions is particularly important for many patients after breast surgery or breast augmentation. When you can sleep on your side again depends on the healing process, any feeling of tightness in the breast area and your individual surgical circumstances. As a general rule, patients should sleep on their backs for approximately six weeks after breast surgery, which can be challenging for those who normally sleep on their side or stomach.

During the first few days following the procedure, a gentle sleeping position is usually recommended. When it is appropriate to change your sleeping position will be discussed with you individually during your follow-up appointments.

At Wolff & Edusei Clinic, Dr Andrea Wolff and Dr Isabel Edusei will provide you with clear recommendations tailored to your individual recovery process.

The main difference lies in how the space for the implant is created.

In traditional breast augmentation procedures, the breast tissue is carefully dissected using surgical instruments to create a pocket for the implant.

The PRESERVÉ™ method takes a different approach: after the skin incision, the tissue is gently and carefully stretched from within using specially designed instruments. This gradually creates a suitable space for the implant.

The implant can then be inserted through a small incision via a prepared tissue tunnel. The elastic structures of the breast tissue surround the implant. The aim is to preserve the natural structures of the breast as much as possible and minimise stress on the surrounding tissue.

Which method is most suitable depends on your individual circumstances and will be discussed during a personal consultation at Wolff & Edusei Clinic.

Pain after breast augmentation varies from person to person. Many patients describe the discomfort during the first few days as a feeling of tightness or pressure in the breast area. Localised pain may also occur around the incision site.

As the PRESERVÉ™ method is designed to preserve the surrounding tissue as much as possible, postoperative discomfort is generally perceived as relatively mild compared with other surgical techniques. However, the actual level of discomfort always depends on individual circumstances and personal pain sensitivity.

At Wolff & Edusei Clinic, you will receive structured aftercare and pain management tailored to your procedure to ensure that you are supported as effectively as possible during the initial healing phase.

Many patients are concerned about whether sensation in the breasts or nipples may change after breast augmentation. In general, changes in sensitivity can occur after any breast surgery, regardless of the technique used.

The PRESERVÉ™ method is designed to treat the surrounding tissue as gently as possible. Nevertheless, it cannot be guaranteed that sensation will remain unchanged. Changes in sensitivity may be temporary, but in some cases they can be long-lasting or permanent.

Our specialists in Plastic and Aesthetic Surgery at Wolff & Edusei Clinic will explain the potential risks and complications associated with breast augmentation using the PRESERVÉ™ method during your personal preoperative consultation.

To secure and reinforce the inframammary fold and thereby reduce the risk of the implant shifting downwards (bottoming out), it is often necessary to use a special suturing technique known as the Lucky-8 stitch. This suture is placed in a figure-of-eight pattern and anchored deep within the tissue. Initially, it causes an indented scar and may result in discomfort for some time after surgery. By precisely closing the incision in the inframammary fold, the implant pocket can be carefully closed following breast augmentation using the PRESERVÉ™ method.

As the PRESERVÉ™ method uses a small surgical incision, the resulting scar is generally relatively short. However, its exact length depends on several factors, particularly the size of the implant selected, individual anatomical characteristics and the circumstances of the procedure.

Scar development also varies from person to person. Factors such as skin characteristics, individual wound healing and scar care all play an important role.

At Wolff & Edusei Clinic, Dr Andrea Wolff and Dr Isabel Edusei, both specialists in Plastic and Aesthetic Surgery, also provide postoperative care and detailed advice on how to support the healing process and promote optimal scar development.

In breast augmentation using the PRESERVÉ™ method, the implant is inserted through a small incision in the inframammary fold (the crease beneath the breast). The exact position of the incision depends on individual anatomy and surgical planning, for example in cases of pre-existing breast asymmetry.

At Wolff & Edusei Clinic, the incision is positioned to provide the least invasive access possible to the surgical area while ensuring that the resulting scar follows the natural contours of the breast as closely as possible.

Dr Edusei or Dr Wolff will explain the expected position of the scar in your individual case during a personal consultation, providing clear and detailed information tailored to your circumstances.

The so-called “tenting effect” describes a visual phenomenon in which the apparent breast volume after augmentation looks significantly greater than the actual volume of the implant would suggest. This is because the stretched breast tissue extends over the implant like a tent.

The implants can appear around 25% larger than their actual volume would suggest, as they are not compressed by the pectoral muscle. For example, a breast implant with a volume of just 200 cc can create a visual effect comparable to that of a 250 cc implant.

This makes it possible to achieve a considerable visual increase in breast volume even with implants that are considered relatively small and lightweight by conventional standards. These implants can offer a high level of comfort and place less long-term strain on the surrounding tissue. Women who are professionally or physically active, as well as women with young children who may be more hesitant about breast augmentation involving a foreign body, often consider this a significant advantage of the Motiva PRESERVÉ™ method.

Yes, combining the PRESERVÉ™ method with a breast lift is possible and depends on the individual breast shape and the extent of any excess skin. Not every breast augmentation combined with a lift is suitable for the same surgical approach.

If significant lifting or reshaping of the breast is required in addition to augmentation, the most appropriate surgical technique must be assessed on an individual basis, taking both medical and aesthetic considerations into account. The key priorities are always safety, preservation of tissue and achieving a result that is suited to your individual anatomy.

Dr Wolff or Dr Edusei will discuss the options available in your individual case with you in detail during a personal consultation at Wolff & Edusei Clinic in the heart of Berlin.