Any place that will do implants and let you stay awake during the procedure? I live in Indiana

Thank you for your question. It is possible to perform a breast augmentation with the patient awake (with or without sedation) though careful patient selection is essential. For this to work well, one needs a motivated patient who wants to have the procedure whilst awake. It is also better if the implants are of a moderate size and are over the muscle. I do not know if there are any surgeons in Indiana who offer this.

I do many breast augmentations under local anesthesia with sedation. The sedation is administered by an anesthesiologist who monitors you.  It works very well and I have published a series of several hundred patients done in this manner. It requires effective local anesthesia, which is a skill that improves with experience.

My patients undergo general anesthesia for a breast augmentation. I think this is the safer and more comfortable option. It is very helpful, especially for submuscular placement, for the patient to be relaxed and pain-free. General anesthetics are very safe.If you decide to go the IV sedation with local anesthesia route, make sure your surgeon is a board certified plastic surgeon that has privileges to perform this surgery at a hospital and/or surgery center. Best of luck!