Capsulotomy under local anesthesia possible?

Thank you for the question. As you likely know, different plastic surgeons have different ways of doing things. In my practice, breast implant removal alone (under  local anesthesia) is a possibility but I would not suggest that the procedure performed under local anesthesia if capsule work is also planned. Best wishes.

Removal of breast implants, intact or ruptured, may have positive implications if patients are symptomatic. A constellation of symptoms associated with breast implant illness, and autoimmune disease are considered when treating patients who have breast implants and are concerned about foreign body reaction. In our office, we begin this journey with a consideration of symptoms and exclusion of obvious autoimmune problems. In many of our patients, en bloc removal of breast implants with capsulectomy is important and beneficial. Further clinical evidence about breast implant illness is evolving and will continue to guide treatment. I would suggest removal if there is a possibility of foreign body reaction.

Best,
Dr. Karamanoukian
Realself100 Surgeon

I appreciate your question.Since you are dealing with implants which may be below your muscle, my recommendation is to not do this under local.If a capsulectomy is needed, I definitely recommend anesthesia as removing the capsule near muscle without relaxation can cause a lot more bleeding and muscle trauma.The best way to assess and give true advice would be an in-person exam.Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.best of luck!Dr Schwartz