Are there different types of nerve blocks for explant? My doc says it last 6 hours, but some reviews say 3 days?

Hello!We have some great innovations in pain management to get away from narcotic use. Local anesthetic using Marcaine will last up to 8 hours. For a minor implant removal this would be totally appropriate. There is a medication called Exparel that is a slow release Marcaine that lasts up to 3-4 days. This might be helpful if you are undergoing a more complicated surgery, like capsulectomy with the implant removal. Exparel runs in the range of $300 additional. We use it for our tummy tucks routinely.Best of luck to you. Be sure you are seeing a board certified plastic surgeon!

Generally speaking, the discomfort tends to be much less than that associated with initial breast augmentation surgery. There are a variety of different types of local anesthetic "blocks" that can be utilized;  practices will vary in this regard.   Most of our patients do very well, from the discomfort standpoint, requiring minimal to no postoperative narcotic medications. My best advice: select your plastic surgeon carefully.  Communicate your concerns/goals/questions carefully as well.  Best wishes.