Can dog ear removal be done under local anesthesia? (Photo)

Complications from silicone biopolymers, Artefill, Bellafill, PMMA, and biopolimero should be addressed by an expert in the field.  
In my practice, I specialize in the removal of Bellafill and Artefill injections, in addition to silicone biopolymers, from the face and body. Initially, treatments are non-surgical with corticosteroids and immune modulators. If unable to be corrected, we can also perform surgery in some cases. 
Patients should undergo biometric screening, clinical assessment of Karamanoukian Grade of Soft Tissue Reaction, and ultrasound examination. 
Silicone biopolymers can also be removed from the body if there are signs of migration or inflammation. All of these filler-types should be removed as early as possible. 
Lastly, our office is conducting ongoing studies of plasma-assisted corticosteroid application, which allows for diffusion of the treatment medication in superficial tissue without causing atrophy. 
Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Thank you for your questions regarding dog ear removal. 
Base on your picture and not a physical examination I think your dog ear could be removed under local.
Before you make any decisions regarding dog ear removal, I would suggest you seek consultation with an expert. Please seek an experienced, board-certified, plastic surgeon. Travel out of state if you must to find such a dog ear removal expert. If you have any more questions regarding dog ear removal or plastic surgery in general, please contact my office.  
Sincerely,Dr. Katzen. 
(Certified by the American Board of Plastic Surgery and member of the American Society Plastic Surgeons, International Society of Aesthetic Plastic Surgery, American Academy of Cosmetic Surgery, and Fellow of American College of Surgeons and American Board for Metabolic and Bariatric Surgery)

this is a skin problem and as such can usually be done in the office under local anesthesia.  Generally breast dogears are smaller than ones from a tummy tuck