Breast augmentation with sedation and local, what is the safest option?

In my opinion profofol should only be administered by an anesthesiologist. Breast implants can be done under local anesthesia with sedation but I prefer an anesthesiologist to be present, especially if profofol is used. 

Hello, thank you for your question. It is possible to do breast augmentation under local anesthesia with sedation or general anesthesia, and you will find surgeons who have experience, expertise, and comfort with both.  That being said, my preference is general anesthesia because it allows the surgeon to completely focus on the breast augmentation and procedure while the anesthesiologist takes care of you.