Breast Augmentation

At the Ann Arbor Center for Plastic & Reconstructive Surgery, we strive to make our patients’ breast augmentation experience as comfortable as possible. Our 4 board-certified plastic surgeons conduct consultations themselves to better understand each patient’s unique goals. Our practice is conveniently located in St. Joseph Mercy Hospital, making cutting-edge technology accessible to our staff. We also have satellite offices at St. Joseph Mercy Brighton Health Center and St. Joseph Mercy Chelsea Hospital.

Request an appointment with one of our board-certified plastic surgeons using our online form or call us at 734.712.2323 for more information.

Candidates for Breast Augmentation

Women who feel that their breasts are too small, or are not proportionate to their body can often benefit from a breast augmentation. Those who are unhappy with asymmetrical breasts, underdeveloped breasts, or have breasts that have lost shape due to pregnancy or weight loss can also be good candidates for this procedure.

Intended Result

Breast augmentation can result in larger, more shapely breasts. It can also create a more balanced figure for a more positive self-image.

Breast Implant Choices

Today, there are two types of implants used in breast augmentation procedures: saline and silicone. Saline implants are filled with a salt-water solution after they are placed. Silicone implants are much more popular due to their natural feel. Silicone implants are filled with a silicone gel and come in both round and teardrop shapes. We offer only FDA-approved breast implants such as Natrelle® implants in both silicone and saline. The Style 410 cohesive silicone gel “gummy bear” breast implants are a popular choices because of the soft, natural look and feel these implants provide. A new, innovative option for women who prefer saline implants is the IDEAL IMPLANT® Structured Breast Implant.


The IDEAL IMPLANT is a saline-filled breast implant with an innovative patented-design that gives it a natural feel without silicone gel. The IDEAL IMPLANT has a revolutionary new technology that offers women the look and feel of a silicone gel implant, but with the safety of only saline inside. This technology eliminates the concern women have with silicone gel implants: that of ruptures that are silent and require an MRI scan for detection. With the IDEAL IMPLANT, a woman can simply look in the mirror each day and have the confidence of knowing her implants are intact.

Who is a candidate for the IDEAL IMPLANT?

Any woman who wants an implant with a natural feel, but does not want silicone gel in her body, may chose the IDEAL IMPLANT. This implant is for the many women who would be concerned about the high 10-year rate of undetected, silent ruptures of silicone gel implants inside their body, and the inconvenience of the FDA-recommended MRI scans every two years to detect ruptures.

How does the IDEAL IMPLANT work?

The IDEAL IMPLANT has a unique internal structure that minimizes bouncing, scalloping, and wrinkling that is common with regular saline implants. The internal structure consists of a series of implant shells nested together and two separate chambers that hold saline. This simple, yet innovative, internal structure is designed to control movement of the saline and support the implant edges to reduce wrinkling. In addition, the edges have been lowered to better fit the natural curve of the chest wall. When held upright, the internal structure supports the upper portion of the implant to prevent collapsing. The amount of saline used to fill the implant can be adjusted to correct for differences in the size of a woman’s breasts.

Is the IDEAL IMPLANT round or teardrop shaped?

The IDEAL IMPLANT is round, so rotation does not affect its appearance, whereas teardrop shaped implants appear abnormal if they rotate. In addition, the IDEAL IMPLANT was designed to conform to the natural curve of the chest wall, with the edges low and closer to the ribs, and to have a shape that is youthful. The result is an augmented breast that looks and feels natural, without the risk of undetected silicone gel rupture.

How many sizes are available?

IDEAL IMPLANT is manufactured entirely in the U.S. in 14 different sizes, meaning you and your plastic surgeon can select the size that will be most appropriate for your body.

How many women have had the implant? Is it safe?

A U.S. clinical trial began in February 2009 and included more than 500 women who had the IDEAL IMPLANT for primary breast augmentation or replacement of existing augmentation implants. The follow-up is over five years. Based on the safety profile and positive results, the FDA and Health Canada approved IDEAL IMPLANT in November 2014.

What will my breast incision be like with this implant?

Dr. Izenberg is the only Ann Arbor plastic surgeon specializing in a surgical technique that offers women the option of breast enlargement without any visible breast scar; the transaxillary breast augmentation. This procedure utilizes a small incision in the armpit through which a saline-filled implant is inserted. The small scar is hidden in an inconspicuous place and is very hard to detect several months later. With this technique, there may be less swelling and bruising than in some other approaches, thus offering patients a quicker and less painful recovery. This one-hour procedure may allow some patients to achieve a natural result with a minimal scar. For women who are interested in breast enhancement with no visible breast scar, this procedure may be an excellent option.

Procedure Description

During a consultation, patients will be given the opportunity to meet with their surgeon to discuss the desired procedure. Any questions that you have can be answered, as well as the steps of the procedure. Our surgeons take the time to thoroughly educate patients on the procedure to ensure that they are comfortable with the process.

On the day of surgery, patients can expect to be under local anesthesia with sedation. During the procedure, a small incision is made in order to place the implant, which is usually inserted under the breast tissue and pectoralis muscle.

Our surgeons offer the following three types of incisions for breast augmentation:

  • Periareolar incision is made around the edge of the areola (nipple).
  • Inframammary incision is made along the breast crease.
  • Transaxillary incision is created in the armpit, so there are no scars made on the breast.

The type of breast augmentation incision used will be decided upon during your consultation. Each patient is unique, and not every patient can expect to see the same results using the same incision.

Another procedure to consider is a breast lift, also known as a mastopexy. This procedure raises the breasts by removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour. It’s best to correct moderate to severe sagging where the breast is resting on the abdomen, nipples that point downward, below the inframammary fold, and are the lowest part of the breast, or lack fullness in the upper part of the chest or breast.

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Recuperation and Healing

Breast augmentation is an outpatient procedure. Patients are sent home wearing a bra and ace wrap, which helps hold the breasts in the correct position. Initial discomfort is almost always controlled with oral pain medications.

Sutures are usually removed in 7 to 14 days during your follow-up appointment. Light activities can be resumed as tolerated. Aerobic activities or intimate contact can be resumed in a few weeks as healing progresses. Incision lines typically will continue to fade over the next year.

A breast augmentation is an invasive procedure, and therefore will require at least week of downtime before you can resume daily activities. It is important to listen to your body while healing, so if you are experiencing pain, it is best not to push it.

Multiple follow-up appointments will be scheduled at one week, two weeks, one month, three months, and one year to ensure optimal results.

Learn more about the recovery time following a procedure here.

Insurance Guidelines

Breast enlargement is usually considered a cosmetic procedure and is not covered by insurance. The patient is responsible for payment.


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734 712 2323

5333 McAuley Drive, Suites 5001 & 5008
Ann Arbor, MI, 48106

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