Breast Augmentation Without General Anaesthesia

When considering breast augmentation, the operation itself is often not the only concern. The prospect of general anaesthesia, a longer recovery and surgery involving the chest muscle can also influence their decision.

Preservé™ by Motiva® follows a different surgical concept. Rather than extensively dissecting the breast tissue to create an implant pocket, specially developed instruments are used to prepare and expand the existing tissue in a controlled manner. The chest muscle remains untouched.

At Mara Aesthetics in Mallorca, Preservé™ may offer selected patients a tissue-preserving option for subtle or moderate breast enhancement. Depending on the patient’s health, anatomy and treatment plan, the procedure may be performed without general anaesthesia.

Key Facts at a Glance

• Preservé™ is designed to preserve as much of the breast’s natural tissue and supporting anatomy as possible.
• For suitable patients, local anaesthesia may be combined with light sedation instead of general anaesthesia.
• The method is not suitable for every breast shape, tissue thickness or desired implant size.

What Is Preservé™ by Motiva®?

Breast augmentation requires the creation of an appropriate space for the implant. During conventional surgery, this implant pocket is prepared by separating tissue layers. Depending on the chosen technique, the chest muscle may also be lifted or partially released.

Preservé™ is an innovative technique that takes a new approach to traditional breast augmentation, where purpose-designed instruments are used to stretch and shape the existing breast tissue in a controlled way. This creates a three-dimensional space in which the tissue can form a supportive “nest” around the implant.

Preservé™ is a less invasive, tissue-preserving Breast Augmentation technique intended to minimise disruption to the natural structures of the breast.

Can Breast Augmentation Be Performed Without General Anaesthesia?

For medically and anatomically suitable patients, Preservé™ may be performed under local anaesthesia. Light sedation may also be used to help the patient remain relaxed and comfortable.

The appropriate form of anaesthesia depends on several factors, including the patient’s health, anxiety level, the extent of surgery and the medical assessment of the surgical and anaesthetic team. The final anaesthetic plan is therefore determined individually.

After the procedure, patients remain under observation for an initial recovery period. Even without general anaesthesia, they should arrange for someone to accompany them home, avoid driving and spend the remainder of the day resting.

How Does Preservé™ Differ From Traditional Breast Augmentation?

The central difference lies in how the implant space is prepared.

With Preservé™, the implant is placed above the chest muscle. The muscle does not need to be lifted, divided or separated. The technique was designed to preserve the natural breast tissue, supporting structures, nerves and chest muscle as much as possible.

The procedure is combined with Motiva SmoothSilk® Ergonomix2® implants. These implants are designed to adapt to the body’s position in terms of shape, movement and feel. Preservé™ also uses dedicated instruments for tissue preparation and controlled implant insertion.

What Are the Potential Benefits?

Because the chest muscle remains untouched and less extensive tissue dissection may be required, the early recovery period may be more comfortable for suitable patients.

Potential benefits may include:

• no general anaesthesia necessary
• no surgery beneath the chest muscle,
• preservation of more natural breast tissue,
• a smaller surgical access incision,
• a discreet scar positioned within the breast fold,
• potentially less postoperative discomfort and swelling,
• an earlier return to light daily activities,
• a soft and natural-looking transition.

These benefits cannot be guaranteed. Swelling, bruising, tenderness, tightness and pain can still occur after a tissue-preserving breast augmentation. Recovery varies according to the patient, the extent of the procedure and the individual healing response.

Can the Result Look Natural?

Preservé™ is particularly relevant for patients seeking a subtle or moderate increase in breast volume. The aim is often to complement the existing breast rather than create a dramatically larger décolleté.

Depending on the starting anatomy, treatment may provide:

• more balanced body proportions,
• additional fullness in the décolleté,
• gentle enhancement of the breast contour,
• a soft transition between the natural tissue and implant,
• a breast shape that continues to move naturally with the body.

A natural-looking result depends on more than the implant itself. Tissue thickness, skin quality, breast shape, implant position, volume and projection all play an important role.

An implant that looks balanced on one patient may be too large or visible on another. Implant selection should therefore never be based solely on a desired cup size.

Who May Be Suitable for Preservé™?

Preservé™ may be considered for patients who:

• would like a subtle or moderate increase in breast volume,
• have sufficient breast and soft-tissue coverage,
• have suitable skin quality and elasticity,
• do not have significant breast sagging,
• have realistic expectations,
• are anatomically suitable for implant placement above the muscle.

The natural tissue must be able to cover and support the implant adequately.

When May Another Technique Be More Appropriate?

Preservé™ may be less suitable when the breast and soft-tissue layer is very thin. In such cases, implant edges, folds or transitions may become visible or palpable.

A different technique may also be recommended when there is:

• a desire for a very large increase in volume,
• significant skin laxity or breast drooping,
• pronounced breast asymmetry,
• a complex congenital breast shape,
• certain previous breast operations,
• a complicated implant replacement,
• a medical reason not to place the implant above the muscle.

What Risks Should Be Considered?

Preservé™ remains a surgical procedure and carries both general surgical risks and risks associated with breast implants. These may include:

• bleeding and haematoma,
• infection,
• delayed wound healing,
• changes in breast or nipple sensation,
• noticeable scarring,
• asymmetry,
• fluid accumulation,
• capsular contracture,
• implant displacement or rotation,
• visible or palpable implant edges,
• rippling,
• implant damage or rupture,
• the need for further surgery.

Breast implants are not considered lifetime medical devices. Monitoring, implant replacement or removal may become necessary in the future. A responsible consultation must therefore cover the benefits, limitations, follow-up requirements and potential need for additional operations.

How Is Your Suitability Assessed?

Suitability cannot be determined reliably from a photograph or preferred cup size alone.

During a personal assessment, Dr Mara considers factors including:

• the thickness of the breast and soft tissue,
• skin quality and elasticity,
• the width and shape of the chest,
• natural breast shape,
• the position of the breast fold,
• existing asymmetry,
• nipple position,
• body proportions,
• medical history,
• preferred size, shape and projection.

Only after this assessment can the most appropriate treatment be recommended. Depending on the findings, this may be Preservé™, conventional breast augmentation, a different implant position, fat transfer or a breast lift.

Preservé™ at Mara Aesthetics in Mallorca

A modern surgical technique is only beneficial when it is suitable for the individual patient.

Mara Aesthetics therefore does not recommend the same technique or implant to everyone. Treatment planning is based on your anatomy, tissue quality, existing breast shape, proportions and desired result.

When Preservé™ is appropriate, it may provide a tissue-preserving approach to natural-looking breast augmentation without surgery beneath the chest muscle and, in selected cases, without general anaesthesia.

Frequently Asked Questions

Is Preservé™ Performed Without Any Anaesthesia?

No. The surgical area must be properly numbed. For suitable patients, local anaesthesia may be used alone or together with light sedation, meaning that general anaesthesia may not be required.

Is the Procedure Pain-Free?

Local anaesthesia is intended to suppress surgical pain. Pressure, touch or movement may still be noticed. Tightness, tenderness and mild to moderate discomfort are also possible after the procedure.

When Can I Return to Work?

This depends on the type of work and individual recovery. Light desk-based duties may be possible sooner than physically demanding work. A reliable recovery estimate can only be provided after the operation has been planned.

Can Large Implants Be Used?

The appropriate implant size depends on chest width, skin elasticity, tissue thickness and the stability of the natural supporting structures. Preservé™ is particularly relevant for balanced, moderate enhancement.

Can Preservé™ Replace a Breast Lift?

An implant may improve shape when there is mild volume loss. It cannot reliably correct significant skin excess or markedly drooping breasts.

Is the Result Permanent?

The implant provides long-term volume, but the breast and skin continue to change with age, pregnancy, hormonal changes and weight fluctuations. Breast implants may also require monitoring, replacement or removal later in life.

by Dr. Marianna Ostrerova

The Best Mommy Makeover Travel Packages in Spain for American Moms

For many mothers, the journey of parenthood is the most rewarding experience of their lives. However, it often leaves behind physical changes that diet and exercise alone cannot address. Stretched abdominal muscles, sagging skin, and loss of breast volume are common concerns that lead many women to consider a Mommy Makeover.

While these procedures are widely available in the United States, a growing number of American women are looking across the Atlantic. By choosing mommy makeover travel packages in Spain, moms can combine world-class surgical expertise with a serene, private recovery on the beautiful island of Mallorca.

Why Choose Spain for Your Mommy Makeover?

Spain has long been a global leader in medical tourism, specifically in the field of plastic and reconstructive surgery. For American patients, the appeal is twofold: the exceptionally high standard of European medical care and the opportunity for a discreet relaxing recovery.

At Mara Aesthetics, we specialize in bridging the gap between luxury travel and clinical excellence. Our patients don't just receive surgery; they receive a curated experience designed to restore their confidence in one of the most picturesque locations in the Mediterranean.

The Advantage of the Medical Tourism Travel to Spain

The primary benefit of opting for mommy makeover travel packages in Spain is the ability to recover away from the stresses of daily life. At home, it is nearly impossible for a mother to truly rest. In Mallorca, your only job is to heal.

World-Class Surgical Expertise

The surgeons at Mara Aesthetics are internationally recognized, utilizing the latest techniques in body contouring and breast enhancement. Because we cater to a global clientele, our team is fluent in English and educated on the specific aesthetic goals of American patients. This ensures results that look natural, youthful, and refreshed.

What is Included in a Mommy Makeover?

A Mommy Makeover is not a single surgery but a customized combination of procedures designed to address the specific areas affected by pregnancy and breastfeeding. According to the American Society of Plastic Surgeons, a typical makeover addresses the abdomen and breasts simultaneously to minimize downtime.

Typical components of our packages include:

1. Tummy Tuck (Abdominoplasty): To repair separated abdominal muscles (diastasis recti) and remove excess skin.
2. Breast Enhancement: This may include a breast lift, breast augmentation with implants, or a combination of both to restore volume and position.
3. Liposuction: High-definition contouring to remove stubborn fat deposits in the hips, flanks, or thighs.

➜ Book your virtual consultation today

by Dr. Marianna Ostrerova

Breast Augmentation Travel Packages in Spain: What US Patients Need to Know

Breast augmentation is one of the most performed cosmetic procedures in the world, and for good reason. When done well, it delivers results that feel natural, proportional, and deeply confidence-building. But in the United States, the cost can be pricey, and the clinical experience often leaves something to be desired.

More American patients are now exploring breast augmentation travel packages in Spain as a credible, high-quality alternative. Spain offers European board-certified surgeons, modern accredited facilities, and a recovery environment that feels nothing like a hospital. 

Why Spain for Breast Augmentation?

Spain operates under European Union medical standards, which are among the most rigorous in the world. Surgeons practicing in Spain are required to meet strict credentialing requirements, and clinics are subject to ongoing regulatory oversight. For US patients, this means access to a level of surgical quality that is fully comparable to what you would find at a top American practice, at a significantly lower cost.

Beyond credentials, Spanish surgeons are widely recognized for a natural approach to breast surgery. Rather than a one-size-fits-all result, the emphasis is on proportion, symmetry, and harmony with the patient's existing frame. This philosophy aligns with what most patients actually want: results that look and feel like themselves, only enhanced.

What Is Included in a Breast Augmentation Travel Package?

Not all travel packages are created equal. A well-designed package should remove logistical uncertainty and cover every stage of your journey, from the first virtual consultation to your final post-operative check-up and transportation home. Our comprehensive package at Mara Aesthetics in Mallorca includes:

Pre-Operative Virtual Consultation

Before you book flights or make any commitments, you will have an in-depth virtual consultation with your surgeon. This is your opportunity to discuss your goals, ask detailed questions about implant options, incision placement, and recovery timelines, and receive a personalized surgical plan. At Mara Aesthetics, consultations are conducted in English, ensuring clear communication from day one.

Surgical Procedure and Facility Care

The surgical procedure itself is performed at a fully accredited facility in Mallorca.

Luxury Accommodations and Meals

Recovery environment matters. Mara Aesthetics partners with luxury villas and five-star hotels across Mallorca to provide a comfortable, private setting for your post-operative stay. Every package includes breakfast and dinner, so you are never left managing meals during recovery. 

Private transfers between your accommodation, the clinic, and the airport are arranged on your behalf.

Learn More

Aftercare and Follow-Up Appointments

Post-operative care is built into every package, not treated as an add-on. You will have scheduled check-ups with your surgeon during your stay, and the team provides support throughout your recovery period. Before you return to the US, your surgeon will review your healing progress and provide detailed aftercare instructions for the weeks ahead.

By opting for breast augmentation travel packages in Spain, you are choosing comprehensive, expert-led care at a fraction of the cost in the US.

Understanding Your Implant Options

One of the most common questions from US patients is whether European implant standards differ from American ones. 

At Mara Aesthetics, Dr. Mariana Ostrerova and Dr. Nitzan Kenig take a highly individualized approach to implant selection. No two patients receive the same recommendation, because no two patients have the same anatomy or goals.

Is It Safe to Have Breast Augmentation Abroad?

Safety is the most important question any patient can ask, and it deserves a direct answer. Yes, breast augmentation in Spain is safe when performed at an accredited facility by credentialed surgeons. The key factors to verify are the same ones you would evaluate at home: surgeon qualifications, facility accreditation, and the quality of aftercare.

At Mara Aesthetics, Dr. Mara holds memberships with ISAPS, SECPRE, and The Aesthetic Society in the US. These credentials are the same professional bodies that credential leading American surgeons. 

Dr. Kenig's background spans surgical training in Spain, the US, and South America, with published research in medical ethics and surgical safety. 

How to Book Your Breast Augmentation Travel Package

Visit our booking page to schedule your virtual consultation. From there, our team will walk you through implant options, provide a personalized quote, and help you plan your travel dates around your surgical timeline. The entire process is managed in English, and the Mara Aesthetics team is available to answer questions at every stage.

Most patients book their procedure two to four months in advance to allow time for pre-operative blood work, any required medical clearances, and flight planning. Mallorca is well-served by direct flights from Newark Liberty International Airport in NY, making the journey more accessible than many patients initially expect.

The Right Decision Starts with the Right Information

Choosing to have surgery abroad is a significant decision, and it should be made with complete information. Spain offers a legitimate, well-regulated, and genuinely excellent alternative to high-cost US procedures. With the right clinic, the right surgeon, and a fully managed travel package, the experience can be as stress-free as it is transformative.

If breast augmentation has been on your mind, take the first step and book a virtual consultation with Mara Aesthetics today. A personalized conversation with the surgical team will give you everything you need to make a confident, informed decision.

by Dr. Marianna Ostrerova

Autologous Fat Treatment (Lipofilling): Natural Aesthetics & Regeneration for Face & Body

Modern aesthetic medicine is evolving at a rapid pace, constantly introducing innovative procedures that deliver improved results with less invasive treatments. One of the most fascinating methods offered by Dr. Mara at her clinic in Mallorca is autologous fat treatment (often referred to as lipofilling, autologous fat transfer, or fat transplantation). This approach utilizes the body’s own fat to contour or rejuvenate specific areas of the body or face, while also harnessing the regenerative properties of fat cells. Below, you’ll find everything you need to know—from the advantages over implants to the treatment process and the wide range of applications.

What Is Autologous Fat Treatment?

In an autologous fat treatment—known in medical terminology as lipofilling—fat tissue is harvested from your own body, specially processed, and then injected into areas that require more volume or correction. These areas may include the face, breasts, buttocks, or other parts of the body.

The hallmark of this technique is that using your own tissue generally results in excellent biocompatibility. In addition, regenerative effects can be achieved because fat cells contain not only volume but also stem cells that revitalize tissue and support a natural rejuvenation process. This regenerative approach is gaining importance as a sustainable alternative to traditional methods.

In a nutshell

• Extraction: Gentle liposuction of fat from problem areas (e.g., abdomen, hips, thighs).
• Processing: The extracted fat is purified, filtered, and optionally enriched with stem cells.
• Injection: Using fine cannulas, the fat is placed in the desired areas to create volume or improve contours.

Advantages Over Implants or Fillers

Natural Results & Biocompatibility

Unlike implants or synthetic fillers, autologous fat treatments carry virtually no risk of rejection. Since the material comes from your own body, it integrates seamlessly into the surrounding tissue. The outcome: soft contours and a highly natural look.

Lasting Regeneration

Unlike many conventional methods that merely add volume, injecting autologous fat can truly “revitalize” the treated tissue. Stem cell-enriched fat helps promote circulation and improve skin elasticity—an effect that goes beyond basic filling.

Reduced Foreign Body Sensation

In breast augmentation, for instance, many patients prefer the autologous fat option because it offers a more natural feel. The body recognizes the transferred fat as “its own,” enhancing comfort. Complications such as capsular contracture, which sometimes occur with implants, are not a concern here.

Combination of Body Contouring and Augmentation

Fat is typically extracted through gentle liposuction, for example from the hips, abdomen, or thighs. You benefit twice: reducing unwanted fat in problem areas while simultaneously increasing volume where you want it.

Applications of Autologous Fat Treatment

Lipofilling can be employed in a variety of ways, from minor corrections to more extensive aesthetic procedures. Below is an overview of the most popular indications:

Breast Augmentation with Autologous Fat

Instead of silicone implants, the breast can be sculpted using the body’s own fat. This procedure is especially appealing to women who want a moderate increase in size or a natural adjustment in shape.

Facial Sculpting (Facial Lipofilling)

• Lip Injections: Plump lips without an artificial look.
• Cheek and Jawline Contouring: Beautifully accentuate facial features.
• Wrinkle Treatment: Autologous fat can gently fill deeper wrinkles and rejuvenate overall facial appearance.

Brazilian Butt Lift

Those who desire a rounder, more defined buttocks can have the area shaped via autologous fat transfer. At the same time, problem zones like the hips or thighs are minimized.

Hand Rejuvenation

Hands often reveal one’s true age. Lipofilling injections make hands look less bony and give them a healthier, smoother appearance.

Scar Correction and Other Special Applications

Thanks to its regenerative effects, autologous fat transfer can also be useful for treating scars or minor irregularities in the skin.

Procedure and Techniques

1. Consultation and Planning
   Every treatment with Dr. Mara in Palma de Mallorca begins with an in-depth consultation. Together, you’ll discuss your goals, expectations, and any possible risks. Based on your anatomy and wishes, the plan is determined—how much fat will be extracted and precisely where it should be injected.

2. Fat Extraction (Liposuction)
   Liposuction is performed separately. Dr. Mara uses gentle methods that minimize stress on the tissue. This preserves a high number of intact fat cells that can be successfully transplanted afterward.

3. Processing the Fat Tissue
   After extraction, the fat is filtered, cleaned, and—if desired or medically indicated—enriched with stem cells. This step is crucial for ensuring the highest possible quality of the material and maximizing the survival rate of the transplanted cells.

4. Injection into the Target Area
   Fine cannulas are used to inject the fat meticulously into various layers so that the fat cells are distributed evenly and can “take root.” Dr. Mara’s expertise is especially critical here, as both the technique and the precise distribution of fat cells have a decisive impact on long-term results.

5. Aftercare
   After an autologous fat transfer, you may experience mild swelling or bruising, which typically subsides after a few days. In many cases, regenerative medicine can actually support the healing process. A few simple guidelines—such as wearing special compression garments—help ensure a speedy recovery and optimal results.

Risks, Longevity & Key Success Factors

Compared to more invasive procedures, lipofilling is relatively low-risk. Still, like any surgical intervention, there can be swelling, bruising, or infection. Some of the transplanted fat cells will be absorbed by the body in the first few weeks following treatment. For this reason, Dr. Mara plans a slight surplus of transferred fat to compensate for natural cell loss.

You’ll usually see final results after about three to six months. Once the fat cells have permanently settled in place, the natural outcome tends to be very long-lasting. However, it’s essential to maintain a stable lifestyle post-treatment: weight fluctuations can affect the transplanted fat cells, leading to changes in volume.

Regenerative Medicine and Innovation at Dr. Mara’s Practice

Dr. Mara and her team in Palma de Mallorca place great importance on the latest techniques and continuous innovation. Combining autologous fat transplantation with new insights from regenerative medicine—including the use of stem cells—makes lipofilling a trailblazing procedure.

This commitment to innovation is evident in every aspect of treatment, from personalized consultations to minimally invasive procedures and professional aftercare. Those choosing autologous fat treatment with Dr. Mara benefit from a comprehensive aesthetic solution backed by extensive expertise in plastic and aesthetic surgery.

Your Path to Natural Beauty – Get Expert Advice Now

Autologous fat treatment uniquely combines a gentle approach, natural-looking results, and regenerative benefits. From breast enlargement with autologous fat to a Brazilian Butt Lift or refined facial contouring, lipofilling offers a broad range of applications. Because it uses your own fat, concerns about incompatibilities are minimized—while you also reap the regenerative rewards of stem cells.

Do you have any questions, or would you like more information?
Arrange a personal consultation with Dr. Mara and discover how this innovative technique can help fulfill your individual wishes. Whether it’s a minor correction or a comprehensive change, our team in Palma de Mallorca is here to support you at every step.

Schedule an appointment now:
Book your non-binding consultation and learn how you can fully highlight your natural beauty through autologous fat treatment.

by Dr. Marianna Ostrerova