Breast augmentation without general anesthetic?

Question

I finally decided that I want a breast augmentation preferably with saline products from mentor but not in general anesthetic. Nowadays its possible Which doctors offer breast augmentation with saline products for small breasts ?

Ram Kalus, MD, FACS · Answer

Thank you for your inquiry. As you know, an evaluation in person would be required to properly determine how your goals can be best met and offer specific recommendations. That said, an experienced board certified plastic surgeon can review with you all of your options. In my practice we offer all implant options including saline filled implants by Mentor as well as the Ideal Implant, a slime filled implant that has a slightly softer feel than a traditional saline implant.

Do your research and ask your questions before scheduling g your consultation. Best of luck to you.

Do your research and ask your questions before scheduling g your consultation. Best of luck to you.

Thomas A. Mustoe, MD, FACS · Answer

With effective local anesthesia breast augmentation can routinely be performed without general anesthesia under IV sedation using the same medications routinely used for colonoscopy and I have done thousands with this technique.  Saline implants need to be placed under the muscle which is my routine and most patients in my practice  choose saline implants because there is less tissue reaction and the incidence of capsular contracture is extremely low.

Ellen Ozolins, MD · Answer

Thank you for your question. Breast augmentation has been performed without general anesthesia using local anesthetic with sedation. Saline implants are a safe option for those seeking breast augmentation. These implants are made of silicone shells filled with sterile salt water, providing a natural feel. To find a surgeon who performs breast augmentation with saline implants without general anesthesia, you can conduct online research, ask for references from your primary care physician, or contact local cosmetic surgery clinics to inquire about their services. In general, however, most board certified plastic surgeons performing breast augmentations at accredited surgery center only under general anesthesia.

Luis A. Mejia, MD · Answer

Dear Dynamic637834, thanks for sharing your concern saline products are not longer the best option for many surgeons and this is for many reasons , I do rather suggest Gel and about anesthesia local can be used depending on your evaluations. Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks! Dr. Luis Mejia.

Daniel Barrett, MD · Answer

Dear Dynamic637834,
generally speaking, it is possible to get BA without general anesthesia. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Harry T. Haramis, MD, FACS · Answer

Saline breast augmentation should be available with most/all plastic surgeons, as well as gel implants, for small breasts. Sizing would be during consultation.

However, I would NOT recommend local anesthesia only for breast augmentation. In my experience, creating a space for the implants, especially if under the muscle, and the overall discomfort, would compromise results and safety.

An exam and consultation with a plastic surgeon is recommended to further discuss your options and expectations.

Azita Madjidi, MD, MS, FACS · Answer

Unless you are younger than 22 years old, why would you get saline implants which have more complications than silicone implants?!
You can have sedation if the implants are placed over the muscle, but again this is a poor choice if the implants need to go under the muscle, especially salines.

Ronald J. Edelson, MD · Answer

It is possible to do breast augmentation  under local anesthesia and I’m sure many surgeon do this. If you want saline implants that should not be a problem

George Marosan, MD · Answer

Thank you for your question. All plastic surgeons offer both saline and silicone breast implants for augmentation. Although general anesthesia is safe, I personally have done my breast augmentations under deep intravenous sedation and tumescent anesthesia only, for over 30 years. The patients are ready to leave the office in 20-30 minutes post surgery. There's no 2-3 hours of recovery time with potential nausea/vomiting, which seems to be more common with general anesthesia. See a board certified plastic surgeon for an in person consultation/evaluation. Good luck.

Camille Cash, MD · Answer

Safety is the number one priority in surgery.  I elect to perform breast augmentation under general anesthesia for the patient's safety and comfort. It is performed outpatient with the surgery taking only 1 to 2 hours. I encourage you to ask questions during your consultations so that you can make an informed decision about your procedure.