3D consultation
Crisalix 3D
Dr. Ambani is a verified Crisalix practitioner. The simulation can help you compare options and discuss possible changes during consultation.
View Dr. Ambani's Crisalix profileBreast Augmentation
If you are considering breast augmentation, you are probably deciding between implants and fat grafting, or both, and wondering how size is actually chosen. In my Ann Arbor practice, I plan around your frame, existing tissue, and goals. I utilize 3D simulation technology to help you visualize your desired outcome and to discuss realistic expectations. This page is a starting point.
What is breast augmentation?
Breast augmentation adds or restores volume with an implant or with fat grafting, where your own fat is moved by liposuction and injected back into the breasts. Neither approach reliably lifts a breast that has dropped significantly. A breast lift with implants may be appropriate when both position and added volume need to be addressed, although some patients are better served by a lift alone or by staging the procedures.
With implants, the meaningful choices are silicone or saline fill, placement above or below the chest muscle, and incision. We weigh those tradeoffs together at consultation, based on your anatomy rather than a standard package.
Fat grafting suits a modest, soft increase, since up to half of the transferred fat is reabsorbed. Larger goals may need staged sessions or an implant instead.
- ANESTHESIA
- Reviewed per patient
- LENGTH
- Reviewed per patient
- SETTING
- Reviewed per patient
Technology in consultation
See the plan more clearly.
These tools support discussion and evaluation. They do not replace the examination or guarantee an outcome.
Breast augmentation
Preservé by Motiva
Dr. Ambani is trained in Preservé, a less invasive breast augmentation approach designed to preserve native breast tissue. She determines whether it fits your anatomy and goals.
Learn about PreservéReal-time imaging
Clarius ultrasound
Dr. Ambani is trained in Clarius handheld ultrasound, which can provide real-time imaging of breast implants when it is useful to the evaluation or plan.
See the breast implant protocolIs Surgery Right for You?
YOU MAY BE A CANDIDATE IF
- Nicotine & Health: Completely nicotine-free and in stable overall health. I will not operate on anyone with nicotine in their system, because complication risk rises sharply.
- Family Planning: Done having children, with hormones at equilibrium and at least 6-12 months out from completing breastfeeding or pumping.
- Age: The FDA approves saline implants for cosmetic augmentation at age 18 and silicone at age 22.
- Expectations: Results vary, and revision is sometimes needed.
WHAT IT CAN HELP WITH
- Restores proportion and contour planned around your anatomy
- Addresses volume, position, or laxity based on your specific goals
At your consultation I look at the whole picture, not only the approach you have in mind:
Goals & Anatomy: A cup request helps me understand the look you want, but bra sizing is not standardized. I measure your breast dimensions, skin, and tissue, then translate your goal into a proportion that fits your frame.
Health & History: An autoimmune condition such as Hashimoto's does not automatically rule you out. For diabetes or another condition, we coordinate with your primary care clinicians when needed to optimize your health and support safe planning before surgery.
Timing: I want everyone to live their best lives, so I work around your plans and trips to find the right surgery date.
Why Choose Dr. Ambani
ABPS board-certified plastic surgeon with more than twenty years of experience
MEDICAL SCHOOL
Duke University School of Medicine
RESIDENCY
Plastic Surgery, University of Michigan Affiliated Hospitals
FELLOWSHIP
Microsurgical Reconstruction, University of Pittsburgh Affiliated Hospitals
BOARD CERTIFICATION
American Board of Plastic Surgery
EXPERIENCE
Attending surgeon since 2017
What Recovery Involves
01
Early Recovery
Most patients feel the worst of the soreness in the first several days and return to desk work in about a week. Strenuous exercise usually resumes gradually around 4 to 6 weeks, and heavy upper-body lifting waits about 6 weeks or longer, once I clear you.
02
Weeks 2 to 4
Fat grafting adds a liposuction donor site, so expect some extra soreness, bruising, and possibly minor unevenness there. It also carries risks of its own, including infection, fat necrosis, oil cysts or calcifications, loss of some transferred fat, and sometimes a touch-up session. Where your implant sits and how physical your job is can also shift the timeline.
03
Long-Term Healing
Recovery usually involves a support garment, activity limits, and follow-up visits so we can watch your healing. Expect a supportive bra for a minimum of 8 weeks to optimize your long-term implant position and shape. Plan for help at home in the first days, and time off work suited to your job.
Cost & Self-Pay Philosophy
Shoshana Ambani Plastic Surgery is a cosmetic, self-pay practice, and we do not bill insurance for augmentation, monitoring, or any future revision. Cost depends on your path: implant supplies or liposuction extent, anesthesia, facility, and time in surgery. We review an itemized estimate once your plan is set, and can walk through financing your care.
Risks and Common Questions
If you are considering breast augmentation, you are probably deciding between implants and fat grafting, or both, and wondering how size is actually chosen. In my Ann Arbor practice, I plan around your frame, existing tissue, and goals. I utilize 3D simulation technology to help you visualize your desired outcome and to discuss realistic expectations. This page is a starting point.
How much does breast augmentation cost in Michigan?
It varies with your plan: implants or fat grafting, anesthesia, facility, and operating time. We share an itemized estimate afterward.
Silicone or saline: what is actually different for me?
Saline often needs a smaller incision, and rupture shows as deflation. Silicone feels softer under thin tissue but can rupture silently, so the FDA recommends an ultrasound or MRI at five to six years, then every two to three years. It checks the implant, not for cancer.
How is fat transfer different from implants?
Fat grafting gives a modest, soft increase using your own tissue, and some transferred fat is reabsorbed. Implants deliver larger, more predictable volume, so your goals and available donor fat decide it.
How long do breast implants last?
Often well over a decade, but implants are not lifetime devices and revision may be needed.
What risks come with implants?
Implants carry surgical risks like bleeding, infection, and scarring. They can also bring sensation changes, asymmetry or movement, rippling, rupture or deflation, hardening of the normal capsule that forms around the implant (capsular contracture), and a rare implant-related illness called BIA-ALCL. We review the full list and FDA screening at consultation.
Will implants affect breastfeeding or nipple sensation?
Most women can breastfeed after augmentation, and lasting sensation change is uncommon, though neither is promised. Incision placement plays a role, so we weigh it together.
Plan Your Care with Shoshana Ambani Plastic Surgery
Consultation-based, self-pay plastic surgery in Ann Arbor.