Can silicone breast implant removal be done under local anaesthesia? (Photo)

It
is possible to remove implants under local anesthesia.  However, you will most likely be dissatisfied
with the results.  After explant, the
skin will hang, wrinkle and will look unattractive.  For this reason, I recommend explantation
using The Bellesoma Method under general anesthesia.  This will reshape your breast tissue creating
upper pole fullness without implants, elevate them higher on the chest wall and
more medial to increase your cleavage. 
Vertical scars are avoided, nipple sensation and the ability to breast
feed are maintained, if not injured during your previous surgery.  At the same or later, fat transfers can be
performed if additional volume is desired. 
Capsulectomy does necessarily have to be done unless there are
abnormalities with the capsule such as calcification or infection.  Best Wishes,Gary Horndeski, M.D.

Breast Implant removal is certainly a bit easier than the placement and much less discomfort results from the surgery.  If the capsule is very thin and soft then removing it is not necessary and can at times cause more trauma trying to remove very thin capsule.  When the capsule is on the thicker side, then removing it would allow the surfaces to heal together faster with less issues with seroma (fluid collection).If your implants move freely and feel soft, then a capsulectomy is unnecessary.Hope that helps.