Can I have my breast implants removed with only local anesthesia?

I have had breast implants for some time now, since I was in my mid 30s. I'm now 63 and wanting them removed so that my mammograms will be easier to read, etc. They're saline and if I have any capsular contracture it's minimal. What is the typical cost for this procedure and would it be possible to do it under local with conscious sedation?

Doctor Answers 16

Anesthesia for implant removal

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Anesthesia can vary for breast procedures and while I prefer a general anesthesia for most breast procedures for patient comfort, saline implant removal can be done under sedation and local anesthesia.  I do like to remove some of the capsule to allow the pocket to close and a also place a drain to prevent fluid collection.

Removal of Breast Implants Under Local Anesthesia

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Yes. Removal of breast implants under local is very common and most patients prefer this method. Conscious sedation (oral or IV) can be done, but you can also do it under straight local without sedation. The cost varies depending on the region and surgeon, but is generally around $2,000. 

Can I have my breast implants removed with only local anesthesia?

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Thank you for the question.
If all that is being done is removal of the implants ( no capsule work)  then they may be safely and comfortably removed under local anesthesia for  a relatively calm patient. I generally individualize the type of anesthesia to be used based on the specific patient's  personality and  situation.
Best wishes.

Local anesthesia is not only possible but probably preferred!

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Without capsules to deal with, local anesthesia is safe, easy, comfortable, and least expensive! Of course, personal examination would be necessary to confirm the surgical as well as anesthetic approach. Local plus IV sedation would require a driver, but may be the most comfortable option of all short of (unnecessary) general anesthesia. Best wishes! Dr. Tholen

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon
4.9 out of 5 stars 263 reviews

Implant removal

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Simple implant removal could easily be done with oral sedation and local. Regional rib blocks and oral narcotics with Valium would be adequate. If your capsule is calcified it should come out and sometimes that could make it a little tricky. But your mammograms would help determine that. 

John Mancoll, MD
Virginia Beach Plastic Surgeon
4.9 out of 5 stars 60 reviews

Implant removal under local

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It is quite possible to remove implants under local with some sedation. If there is a capsule as well, it can be removed as well. Best of luck.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Local anesthesia for implant removal

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If the only treatment will be removal then the use of local anesthetic for removal of saline implants is appropriate.

Breast Implant Removal

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Hi Carol,
yes we typically do this for saline under local with just a shot of numbing medicine in the incision!  All the best, "Dr. Joe 

Breast Implant Removal technique depends on a number of issues

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From your description, it sound like you could have your implants removed easily - and even with only local anesthesia, since is sounds like you do not require a capsulectomy.
When the capsule is hard and requires removal, then you would need general anesthesia. It is also possible to deflate your  saline implants in the office for you to see if you want to live without them. Once the saline has absorbed, and you live with the new smaller size, you may realize you want to have them replace, usually with the gel style.
Breast Wishes.

Anne Taylor, MD
Columbus Plastic Surgeon
4.9 out of 5 stars 49 reviews

Costs for removal of breast implants

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Removal of breast implants using local with sedation is possible depending on the patient.

The costs of surgery vary greatly across the country. We charge starting about $2300 + MD Anesthesia Related Costs (if necessary) for breast implant removal.

One main advantage that we have is that we own our AAAASF nationally accredited surgery center. This allows us to maintain staff and MD Anesthesiologist relationships, and manage the costs which allows us to provide a safe and comfortable environment.

Consult with 3 experienced and expert board certified plastic surgeons to understand your options.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 56 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.