Office based cosmetic surgery is the standard in the US, and may well be in Europe as well. Almost all breast augmentation is performed in an office based operating suite in comfort and safety. In properly accredited office based centers anesthesia for breast augmentation may be a general anesthesia, though we prefer a deep sedation in our center. Pain can vary depending on the individual, though as a rule all do well and are quite comfortable by three days. A hospital stay is very unnecessary.
The reasons for the transition to specialised office based surgery are many. One of the primary motivations has been the management of cost which has been out of control in the American health system. We have also found in our experience that the office center may be safer, as there are few if any medication or other medical errors, and the infection that can occur in large busy medical centers and hospitals can be almost eliminated. Accreditation is the key with regular review of any office facility.
Best of luck,.