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 Implant Revision
If your implants have changed over time, or simply no longer look or feel right, revision may be your answer. In my Ann Arbor practice, I treat breast implant revision as a normal possibility, not a sign your first surgery failed. This page will help you decide whether a consultation is your next step.
A considered introduction
What is breast implant revision?
Revision is surgery that addresses an existing implant rather than starting fresh. It can mean replacing or resizing the implant, reshaping its pocket, or adding a lift. Implants are not lifetime devices, and needing revision someday is a normal part of having them.
Breast implant removal is part of this same planning. Some patients want the implant removed without replacement. Depending on the capsule, breast tissue, skin, and desired shape, removal may be paired with capsule surgery or a breast lift. Those choices are made after examination rather than assumed in advance.
Clients come to me for two kinds of reasons. Some notice hardening of the normal capsule around the implant (capsular contracture), an implant settling too low (bottoming out), or a second crease along the lower breast (double bubble).
Others see or feel ripples through the skin (rippling), or suspect a rupture. And some are simply ready for a different size, shape, or position now.
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 protocolHonest guidance
Are you a good candidate for revision?
YOUR CONSULTATION CONSIDERS
- Implants & History: I review your implant card if you have it, its age, placement, and symptom timeline.
- Goals & Anatomy: We match what you want against your tissue, pocket, and proportions.
- Health & Safety: For diabetes or another condition, we partner with your primary care providers as needed, and some findings need attention first.
AN INDIVIDUAL DECISION
Good candidates bring a specific change or goal, are healthy enough for elective surgery, are nicotine-free, and hold realistic expectations. I will not operate on anyone with nicotine in their system, because complication risk rises sharply. That change might be new firmness, pain, distortion, swelling, a lump, a shifted implant, or deflation, and rupture is not always obvious. Unexplained swelling or a lump deserves prompt evaluation, in part to rule out a rare implant-related illness called BIA-ALCL. Or nothing is wrong, and you want it smaller, larger, or lifted.
No set year forces revision; time since surgery shapes the plan. Going smaller or larger may be possible, though tissue, pocket, and chest wall set limits we sort out. When loose skin or nipple position is involved, a lift can be combined.
At consultation, we look at:
Results vary based on your anatomy and tissue quality, and we tailor the plan to what fits you.
The most valuable consultation is one that leaves room for every outcome: proceeding, refining the plan, staging care, or deciding that waiting is right for you.
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
Supported at every stage
What recovery involves
01
Early healing
Recovery depends on what your revision involves. A straightforward implant exchange that keeps your existing pocket can feel similar to your first augmentation. Capsule removal, pocket repair, or a combined lift adds surgical work, so soreness, swelling, and activity restrictions can run longer.
Revision carries the general risks of surgery and anesthesia, and I review each risk with you before consent. These include bleeding or fluid collection, infection, wound-healing or scar problems, and changes in sensation. Because your tissue and pocket have been operated on before, asymmetry, contour irregularity, rippling, rupture, lasting pain, recurrent contracture or malposition, and another revision someday are also possible.
02
Returning to routine
In general, initial recovery runs roughly one to two weeks, though that is not a return-to-everything marker. I confirm your specific timeline, work plans, and lifting limits at consultation rather than promising dates on a page. Expect a support garment, early walking, temporary activity limits, and scheduled follow-up visits with me.
03
Long-term care
If you have had a prior revision or a more complex history, your recovery plan is built around that specifically, because two revisions rarely look the same.
Clear, personalized planning
Cost & Self-Pay Philosophy
Shoshana Ambani Plastic Surgery is a cosmetic, self-pay practice, and we do not bill insurance for this care. Revision cost depends on scope: an implant exchange alone is a different operation from one that adds capsule work, pocket repair, resizing, or a lift.
Anesthesia, the surgical facility, and time in surgery also shape the figure, so I do not post a single price. We review an itemized estimate with you after consultation.
Thoughtful answers
Common Questions
If your implants have changed over time, or simply no longer look or feel right, revision may be your answer. In my Ann Arbor practice, I treat breast implant revision as a normal possibility, not a sign your first surgery failed. This page will help you decide whether a consultation is your next step.
How is revision different from a first breast augmentation?
It varies by case, but revision works within an existing implant pocket, capsule, and scar rather than starting fresh. The plan, not just the new implant, defines the surgery.
Will insurance cover breast implant revision?
This practice is cosmetic and self-pay, and we do not bill insurance for breast implant revision. You receive an itemized estimate after consultation.
Can implants be revised to go smaller or larger?
It may be possible. Your skin, pocket, chest wall, and implant dimensions set limits in both directions, so resizing stays a consultation decision, not a promised size.
Can revision fix bottoming out or a double bubble?
It depends on the cause. Fixes range from tightening or repositioning the pocket and repairing the fold to a new pocket, a different implant, or added tissue support. Tissue quality affects durability, and recurrence is possible.
What is capsular contracture?
It varies in severity, but capsular contracture is hardening of the normal capsule around the implant. When it causes firmness, distortion, or pain, surgery can release or remove part or all of the capsule, and the implant may be removed or exchanged.
Can revision be combined with a breast lift?
Yes. When an implant change alone cannot correct loose skin or nipple position, I can combine revision with a lift or stage them, based on your anatomy and goals.
Plan Your Care with Shoshana Ambani Plastic Surgery
Consultation-based, self-pay plastic surgery in Ann Arbor.