Is It Safe to Have Implants Removed While Awake?

I had my implants 4 years ago, under the muscle. I went from an A cup to a B cup. But I never really wanted them in the first place. I want them removed my plastic surgeon who place them says that he can remove it with local anesthesia (lidocaine) in the medical office. I will be wide awake. Is that safe, will I feel the pain?

Doctor Answers 17

Is it safe to have implants removed while awake?

Thank you for your question! Depending on your and your plastic surgeon's comfort level with surgical procedures via local anesthesia, it certainly is a safe procedure and can be done via local only or a little sedation. It is difficult to answer about the appearance of your breasts without a photo or examination. Removal of your implants alone will create a smaller breast with somewhat similar shape. Discuss your concerns with your plastic surgeon and the possibility for a breast lift, either at the same time or at a later date, if deemed necessary. Many times drains are placed as well as compression garments used postoperatively. Cost varies among surgeons as well as geographic location. Certainly, for simple removal without any capsule work, the procedure can be tolerated with local anesthesia alone. I typically prefer to remove the capsule. Best wishes!

Scottsdale Plastic Surgeon
5.0 out of 5 stars 26 reviews

Breast And plant Removal under Local Anesthesia?

Thank you for the question. Removal of breast implants  under local anesthesia  should not be a problem (assuming appropriate patient selection).

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,498 reviews

Removing breast implants under local anesthesia

As long as you are adequately anesthesthetized, you should be okay.  However, if you're really anxious I would recommend twilight sedation for more comfort.

Jeffrey E. Schreiber, MD, FACS
Baltimore Plastic Surgeon
5.0 out of 5 stars 202 reviews

Breast implants can be safe to remove under local

If implants are not leaking in the case of a gel implant, or in any case with a saline implant, removal is safe and comfortable for most in an office setting, under local anesthesia. If you truly put them in for someone else, you will feel better without them.

Best of luck,


Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 43 reviews

Implant removal under local

Probably not my method of choice but it can be done under local anesthesia.  I might would add some valium or a relaxant of some sort!

Ricardo A. Meade, MD
Dallas Plastic Surgeon
4.9 out of 5 stars 120 reviews

Removal of Implants under local

This certainly can be done if only removal is required.  If internal work on the capsule may be required then local anesthesia would be inadequate.

Dr. ES

Removing breast implants under local anesthesia

If the implants are to be removed only, then it is reasonable to consider a locat anesthetic. If other procedures are necessary such as a lift or capsulectomy then another option should be discussed.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 82 reviews

Removing Breast Implants while awake

Simple removal of breast implants in a sub muscular or sub glandular position can be safely accomplished with only a local anesthetic. You may be more comfortable with some oral sedation. 

However, if there is additional work to be done such as capsulectomy or breast lift, you will likely need a little more that local anesthesia to be comfortable.

Mark Preston, MD
Columbus Plastic Surgeon
4.4 out of 5 stars 21 reviews

Removing Implants Under Local

Yes it can be done and when you consider the savings of having it done this way, the yes becomes even BIGGER.

It is simplest if you have relatively little breast tissue and a soft capsule.  By doing it in the office under local anesthesia (you are completely awake and alert and will be able to drive yourself home) you save yourself the facility fee and any anesthesia fees.  In addition, my own fee is much less when done this way. 

You have probably had your procedure done already and I hope it went well for you.  But the answer to your questions is YES.

Curtis Wong, MD
Redding Plastic Surgeon
4.8 out of 5 stars 33 reviews

Can I have my implants removed under local anesthesia?

The simple answer is yes but the more complicated answer is, it depends.  Simply removing your implants is straightforward but many of us will also irritate (or remove) the capsule surrounding the implant so that your long-term result is more natural from the both standpoint of look and feel.

I would suggest having it done under some type of anesthesia so that you can get the best result possible.  Short cuts don't often yield the most optimal results in the long run.

I hope that helps!

Gregory A. Buford, MD, FACS
Denver Plastic Surgeon
4.9 out of 5 stars 42 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.