Can Breast Implant Removal be Carried Out Under Twilight Sedation?

It is quite feasible to perform uncomplicated explantation under twilight sedation and local anesthesia.  You should also discuss with your surgeon the removal of the capsule around your implant.  Even if there was no issue with contracture, leaving the capsule in place could lead to fluid accumulation (seroma) down the line.  Dr. Marc DuPéré, Toronto.

If you had implants placed years ago and just want the saline implant removed, this can be performed under pure local anesthesia if you are tough.  One could take oral sedation ( a Valium) or get some intravenous sedation to take the edge off if you want.  Drains are usually not necessary.  Good Luck