What Kind of Anesthia is Used for Breast Augmentation? General or Local?

Doctor Answers 13

Understanding anesthesia options for breast augmentation

People are sometimes more afraid of the anesthesia than the surgery, but if done by a qualified provider in an accredited facility you should feel very comfortable. General anesthesia, in which the patient is completely asleep, is very common. When local anesthesia is used, intravenous sedation is typically given. Local anesthesia alone is a fairly dicey proposition in my opinion but it has been offered by some non-plastic surgeons.

Seattle Plastic Surgeon
4.9 out of 5 stars 52 reviews

General anesthesia versus IV sedation for breast augmentation

Thank you for your question. Both types of anesthesia can provide a safe and comfortable platform for breast augmentation surgery. It is more important that you feel comfortable with your surgeon and the surgical plan as this is ultimately what you will be remembering after the procedure.

Young R. Cho, MD, PhD
Houston Plastic Surgeon
4.8 out of 5 stars 35 reviews

Breast augmentation surgery is performed under general anaesthesia

Breast augmentation surgery is most commonly performed under a general anaesthetic as a day-only procedures. Some of my colleagues perform breast augmentation under sedation with local anaesthesia - the idea being that the patient recovers from the anaesthetic faster. I don't know of any plastic surgeons who perform local anaesthetic only BA.

I hope this helps.

Damian Marucci, MBBS, PhD, FRACS
Sydney Plastic Surgeon
5.0 out of 5 stars 10 reviews

General or local anesthesia for breast implant augmentation

In most cases, I prefer to use general anesthesia. I have done the procedure under local with IV sedation but the patients tend to experience more discomfort during the procedure. This is especially true if larger implants are placed under the muscle.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 81 reviews

General or Local Anesthesia for Breast Augmentation

I prefer to perform Breast Augmentations with the patient being under general anesthesia.  I only work with a certified anesthesiologist. My choice to do it this way is for the comfort of the patient as well as the surgeon.  I think you will find it easier to be under general .  By the time you wake up it will feel like you were never asleep and it will make your experience so much nicer.  Good Luck!

Miguel Delgado, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 75 reviews

Anesthesia for Breast Augmentation

Either general or local with sedation work well. Both are equally as safe. I prefer general since you feel absolutely nothing, and recovery is significantly faster because you do not have to metabolize the sedative drugs. When combined with the proper surgical technique, you are back to normal activities in 24-48 hours.

Robert T. Buchanan, MD
Highlands Plastic Surgeon
5.0 out of 5 stars 6 reviews

General or Local Anesthesia Can Be Used for Augmentation

Breast augmentations can be performed under either general or local anesthesia, although when performed under local sedation is usually required as well.  At this point in time I use general anesthesia unless the patient opts for local/sedation.  Several years ago I used local/sedation for most patients, since at that time there was a cost savings for patients.

John Whitt, MD (retired)
Louisville Plastic Surgeon
5.0 out of 5 stars 2 reviews

Breast augmentation and anesthesia

I want my patients to be comfortable and so that I can perform my best work knowing that they are not in pain. I find it best under general anesthesia.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

What Kind of Anesthia is Used for Breast Augmentation? General or Local?

Most board certified plastic surgeons (over 80 %) use a type of general anesthesia. This is not to say that IV sedation or local can not be used. But with over hundreds of thousands augmentations done the "Gold Standard" is a form of general. From MIAMI Dr. Darryl J. Blinski, 305 598 0091

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

Anesthesia for Breast Augmentation

Breast augmentation can be done under general anesthesia or sedational anesthesia.  Local anesthesia would probably not be tolerated especially if going under the muscle.   The most important  factor would be to do the procedure with either method of anesthesia in a certified facility or hospital with a certified anesthesia provider experienced in these techniques with a board-certified plastic surgeon. 

Stephen Delia, MD
Boston Plastic Surgeon
5.0 out of 5 stars 17 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.