To me the use of ellipses, em dashes, and the use of italics to emphasis specific words are very much a part of both the author’s voice but more importantly the character’s voice. Some critiquers have said nothing about the amount of each of these included in my story, while others have had a fit. I want to say, “Have you talked with any teenagers recently, especially teen girls?” My female main character’s POV includes many more these style type things than does the male character’s POV. It’s part of what’s different about their voice.
Would LOVE your take on this,