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

Removing silicone implants under local anesthesia is appropriate only in the simplest case of pure removal.  If your PS thinks that a capsulectomy is not needed to remove your two year old implants, you should be OK.Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon Los Angeles, CA

Your implants can be removed under local anesthesia, but it's best to have it performed under general if you are having the capsules removed.  Often if patients are concerned that their implants are causing symptoms they will elect to have both the capsules and implants removed for peace of mind. 

I am sorry to hear about the problems you are experiencing.Yes, implants can be removed under local anesthesia but more  involved operations (capsulectomy for example) are best done under general anesthesia, in my opinion.  Generally speaking (in my opinion), unless the breast implant capsules have thickened (and/or are otherwise symptomatic), are associated with the ruptured silicone gel breast implants, or if the patient has concerns about "medical conditions" related to the breast implants, capsulectomy is not universally necessary. For these patients, en bloc removal of breast implants is a good procedure.
On the contrary, capsulectomy can expose patients to additional risks, such as bleeding, size loss, contour irregularities and other serious complications. In other words, any maneuver performed during surgery exposes patients to additional risk (morbidity). For example, attempting to remove very thin capsule densely adherent to the patient's rib cage may expose the patient to significant bleeding and/or entrance into the thoracic cavity.
 I hope this helps. Best wishes.