A self-expanding implantable medical device comprising a frame including nitinol that exhibits superelastic behavior at body temperature, the frame of said self-expanding implantable medical device being expandable from a constrained delivery profile to an expanded operative profile, wherein the frame is pre-strained by the application of a pre-straining bending force to an extent that selectively induces at least about 8.0% tensile strain at or near only a surface of at least one selected location on the frame during circumferential compaction of the frame to a smaller size, wherein following release of the pre-straining force, the frame circumferentially expands to, or near to, its geometry prior to the application of the pre-straining forces.