What are the pros and cons for breast augmentation done under local anesthesia instead of general anesthesia?

Breast implants placed under the muscle should only be performed under general anesthesia for your safety. 

I have been doing breast augmentation under local anesthesia
with Twilight sedation for 25 years. General anesthesia carries additional risks
beyond conscious sedation. Patients seem to recover more quickly when we avoid
general.

Nicoya79,Thank you for your inquiry and congrats on considering the BA surgery.To answer your question, it is best to perform BA under general anesthesia as it will be the most safe and adequate approach for the patient.It is important to mention that the
finest cosmetic results in any particular case are based on a variety of
factors, including: the unique anatomy of the patient, realistic expectations,
a well-informed and detailed discussion with your plastic surgeon concerning
the best options for you especially covering a deep understanding of the pros
and cons of any given choice you will adopt.



Please keep in mind that following the
advice from a surgeon online who offers to tell you what to do without a
physical examination covering the nature and the status of the tissue,
assessing your desired outcome, taking a full medical history, and discussing
the pros and cons of each operative solution would not be in your best
interest. With that in mind, it is the safest and for your best interest to
find a plastic surgeon with solid experience and certified by the American
Board of Plastic Surgery who is ideally a member of the American Society of
Plastic Surgeons that you will trust and be comfortable with. You should
discuss your concerns with that surgeon in person.



Good luck!!!



Ali Sajjadian, MD FACS