Implant removal under local anaesthetic?

Question

Can implant removal be done under local anaesthetic in the UK for subglandular placement ? What is the recovery time like? When can you do strenuous exercise ? How long will you be in pain for as the breasts heel ?

Alan Gonzalez, MD, FACS · Answer

Hello @BAquestions23, thank you for your question. A breast implant removal can be done under very specific circumstances. For me it's important in an explant a complete capsulectomy and immediate reconstruction of the breast perform with general anesthesia.  Recovery time after implant removal can vary depending on several factors, such as the patient healing process and the specific surgical techniques used. Generally, there its almost no pain.  Best wishes! Alan Gonzalez MD, FACS. International Federation for Adipose Therapeutics and Science”  Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Shaher W. Khan, MD · Answer

Hello, thank you for your question. In my professional opinion, it is not advised to perform implant removal under local anesthesia. This is a relatively invasive procedure that should be completed with IV general sedation. Approximate recovery timeframe is 6-8 weeks of 3 pound weight restriction and limited use of muscle movement. It is advised to not engage in strenuous exercise for approximately 8 weeks, depending on surgery and post operative follow up: Walking is encouraged. Every patient’s pain tolerance is different; however, majority of patient’s tolerate this outpatient surgery.

Anna Steve, MD · Answer

Yes. In many cases breast implants can  be removed under local anesthesia if you are not planning on combining explant surgery (removal of breast implants) with any other surgeries.  There are many options for implant removal without replacement of the implant. Some women who have explant plan to replace some volume with fat transfer to the breast and/or add a breast lift to the procedure plan to tighten up loose skin. In the later cases the explant would typically be done under a general anesthesia.

Daniel Barrett, MD · Answer

Dear BAquestions23,
it is hard to tell for sure without an examination. Generally speaking, it is possible to get removal under local anesthesia. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Randal Haworth, MD, FACS · Answer

Implant removal can be performed under local anaesthetic in the UK for subglandular placement. However, the suitability of this option depends on various factors, including the size of the implants, the extent of tissue damage, and the individual's pain tolerance. It is essential to discuss your specific case with a board-certified plastic surgeon who can assess your condition and recommend the most appropriate anesthesia option for you.

The recovery time for implant removal varies from person to person and depends on the extent of the surgery, the type of implant, and the individual's overall health. In general, patients can expect to experience some discomfort, swelling, and bruising for a few days to a week after the procedure. Pain can be managed with over-the-counter pain medication or prescribed painkillers as needed.

Strenuous exercise should be avoided for at least four to six weeks after implant removal to allow for proper healing and reduce the risk of complications. Light activities such as walking can be resumed shortly after the procedure, but it is essential to avoid any activities that may strain the chest muscles or cause excessive movement of the breasts.

The breasts can take several weeks to several months to fully heal after implant removal, depending on the extent of the surgery and the individual's healing process. It is essential to follow your surgeon's post-operative instructions carefully and attend all follow-up appointments to monitor your progress and ensure proper healing.

Best of luck !

Shana Kalaria, MD · Answer

Every surgeon is different, but I perform some implant removals under local anesthesia. Again, the postoperative protocol is different for each surgeon, but generally expect a couple of weeks of bruising/swelling. No strenuous exercise for 2-3 weeks, and minimal pain. Good luck!

Camille Cash, MD · Answer

You will need to be evaluated by your board certified plastic surgeon to determine if you are a candidate for implant removal under local anesthetic.  If a lift is performed general anesthesia is recommended for your comfort and safety.  Recovery from implant removal is generally quite tolerable.  You will want to closely follow your surgeon's instructions with regard to activity level.  Typically patients can resume exercise at 6 weeks post op.  Compression is often recommended and drains are used if indicated.

Connie Hiers, MD, FACS · Answer

Implants, except for rupture gel implant or gel imp[lants older than 1992, can be removed under local anesthesia. The capsules may not be able to be removed under local, and lifts, except for a very small one, are not done under local.  For most women, just removing the implants is not a very painful procedure, but you will need some time to heal.

Hilton Becker, MD · Answer

Implants can be removed under local anesthetic under the following circumstances 
Implants are not ruptured 
Implants are above the muscle 
There is no indication to remove the capsule
The implants are not  the highly textured type
The patient is aware of the resultant deformity without any adjunctive procedure
The patient is able to tolerate local anesthesia 
Oral sedation or Nitrous oxide is helpful

Implant removal under local anaesthetic?

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