Motiva Preserve or MIA Femtech: what are the differences between these two minimally invasive breast augmentation techniques?

During a discussion between Dr. Nathaniel Stroumza and Dr. Desouches, two breast surgery specialists, the MIA Femtech and Motiva Preserve techniques were compared point by point. These two minimally invasive approaches, without general anesthesia, are redefining modern cosmetic surgery.
Motiva Preserve or MIA Femtech

Two surgeons, two techniques, one same philosophy

La breast surgery evolves towards methods minimally invasivesafer, faster and without visible scars.
Le Dr. Nathaniel Stroumza, a pioneer in France of technical MIA Femtech, and the Dr. Desouches, specialist in Motiva Preserve techniqueThey shared their experiences in a video full of humor and expertise.


Anesthesia: perfect equality

The two techniques share one essential common point:
➡️ No general anesthesia.
The interventions take place under local anesthesiaoffering great comfort and rapid recovery for patients.

MIA Femtech: pure local anesthesia
Motiva Preserve: local anesthesia also
👉 Result: perfect tie.


Scars: MIA Advantage

Both approaches emphasize discretion, but differ in the location of the scar.

  • MIA Femtech : hidden incision in the axillary fold (armpit), totally invisible on the breast.
  • Motiva Preserve: incision concealed in the submammary fold.

The scar from the MIA technique measures approximately 2 cm, against 2 to 3 cm for Motiva Preserve.
👉 Point for MIA, more discreet.


Implant volume: natural or generous?

The difference also lies in the implant volume :

  • MIA Femtech: implants 120 to 210 cc, for a very natural and harmonious result.
  • Motiva Preserve: implants 200 to 320 cc, for a more pronounced curve.

👉 MIA prioritizes the subtlety and naturalnessMotiva Preserve more volume and projection.


Implant shape and type

  • MIA Femtech: prostheses biconvex, with a gel of last generation for a soft and realistic texture.
  • Motiva Preserve: implants round, also in modern gel, for a classic and stable shape.

👉 Both use materials from high quality and ensure a natural look.


Duration and recovery: speed for MIA

  • Duration of the intervention:
    • MIA Femtech: across 20 and 30 minutes
    • Motiva Preserve: about class
  • Recovery:
    • Both allow a return to daily activities by 24 to 48 hours.

👉 MIA Advantage on operational speed, but equal on recovery.


Cost of the intervention: a difference in device

Le MIA Femtech device is more technologically advanced, therefore slightly more expensive.
La Motiva Preserve technique remains a little more accessible, while still offering excellent results.

👉 Equality in terms of quality/result ratio, according to the needs and expectations of each patient.


In summary: two innovations, one goal

Criterion MIA Femtech Motiva Preserve
Anesthesia Local Local
Scar Axillary fold (2 cm) Submammary cleft (2–3 cm)
Implant volume 120–210 cc 200–320 cc
Implant shape Biconvex Round
Duration 20–30 mins 45 min
Recovery 24–48 hours 24–48 hours
Price Higher Lower

Both techniques illustrate a new generation of minimally invasive breast surgery, centered on the comfort, the security, And the naturalness of the result.


FAQ – MIA Femtech and Motiva Preserve

Do these two techniques require hospitalization?
No, they are performed on an outpatient basis under local anesthesia. Returning home is possible the same day.

Which method offers the most natural result?
Both, but MIA Femtech stands out with more discreet volumes and a particularly harmonious finish.

Can we freely choose the technique?
The choice depends on the patient's body type and expectations. The cosmetic surgeon will be able to guide her towards the most suitable method.

Dr. Nathaniel Stroumza Escoffier, plastic surgeon
Article written by the editorial team and validated by Dr. Nathaniel Stroumza Escoffier, plastic surgeon — RPPS 10100674943
Published on November 12, 2025 · Updated on March 24, 2026 · Discover the journey of Dr. Stroumza
Sources & references HAS · SOFCEP · SFCPRE · PubMed · Order of Physicians
This article is for informational purposes only and does not replace a medical consultation.

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