How bad will the drains hurt? Should I take off work longer than a week?
If you are having the implant and capsule removed, that is normally done with general anesthesia. Drains usually are not that bothersome and are in for only a few days in most cases. A week off of work should be adequate given you do not have an occupations which requires a lot of physical activity.
If it's possible to do a procedure under local , such as removing a smooth surfaced breast implant, then it's always better. Anesthesia has risks to it that we should never treat in a carefree manner.