Capsulotomy under local anesthesia possible?

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

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

Thank you for your question.  Implant removal alone can be safely done under local anesthesia, assuming the capsule around the implant does not need to be removed.  In cases where the capsule has thickened and is firm, it is best to remove the capsule but this is best done under general anesthesia for your safety.  Hope that this helps. 

It's not recommended to remove your implants under local anesthesia. General anesthesia is preferred for your safety and cimf

In cases where we are just removing implants and releasing the capsule (capsulotomy), we do them with local without any problem.  It all depends on the patients pain tolerance, but once the local injections are done you will feel very little discomfort.  This is a quick procedure, doing it with local anesthesia helps speed up recovery for you as well. In regards to the capsulectomy, as long as the capsule is thin you can leave it in place.  The body will reabsorb it without any problem and you don't have to worry about any problems in the future.