Capsulorrhaphy under local anesthesia?! (photos)

Without a thorough physical exam before and after your surgery, this is difficult to answer.  From the one picture you have the left breast has some inherent differences, including a larger and lower areola and possibly a smaller size.  Im not sure a capsulorraphy alone would help do much.  

You have bottoming out of the right pocket. It can be revised under local with careful dissection and reconstruction of the infra-mammary fold without exposing the implant. Best, Dr. Yegiyants 

 I am sorry to hear about your concerns after breast augmentation surgery. Different plastic surgeons have different practices;  in my practice, all revisionary breast surgery that involves adjustment of breast implant capsules and/or manipulation of breast implant themselves are done under general anesthesia in a fully accredited surgery facility. However, if a relatively minor procedure is planned and the patient can tolerate the procedure done under local anesthesia, then the use of local anesthesia is understandable. Best to communicate your questions/concerns directly with your plastic surgeon. Best wishes for an outcome that you will be happier with.