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!

Thank you for your question. I agree with the other surgeons that this is not a good idea and should be a red flag. Making the pocket and placing the implant can cause a fair amount of discomfort, ESPECIALLY if going below the muscle. 

Hi Hogangirl.
I don't understand why you would want to be awake for surgery. Breast implant surgery is very safe, especially with a board certified anesthesia and plastic surgery practice. 
I suggest you seek 3 consultations with board certified plastic surgeons.
Dr. ALDO

The simple answer to this question is yes, although I generally agree with the other physicians here recommending sedation or general anesthesia.  General anesthesia is very safe and makes the procedure more comfortable overall.  However, if you want to be wide awake during the procedure, it can be done under tumescent anesthesia.  The only down side to this technique is that there maybe some discomfort during the procedure and your only option if the area can't be numbed is to "grin and bear it".  Hope this helps. 

Our office uses twilight  sedation for breast augmentation. Most board certified plastic surgeons will either use this or general anesthesia (totally asleep). The reason some places do surgery under just local is because their operating room is not accredited or they do not have privleges to operate anywhere but their office. These are HUGE red flags! Pick your surgeon first and make sure they are qualified. 

It is possible to perform breast augmentation awake and under sedation but there are pros and cons. I am not aware of who in Indiana performs BBA's awake and recommend contacting the individual PS that are board certified in Indiana. 

Thank you for your question. In my opinion, the first priority is safety. The first 2000 or so breast augmentations that I did were done with IV anesthesia as well as local blocks. It would take those patients many hours to wake up from the medications necessary to keep them comfortable. Today, we use a laryngeal mask system in which gases can be given, while you are breathing on your own, as well as the local injections and pectoralis muscle blocks going under sonogram guidance. In this state-of-the-art method, my patients leave the recovery room in less than 1/2 hour usually. Hope that's helpful.

Even if you choose sedation instead of general anesthesia, you will be in a deep state of sedation such that you probably won't remember anything. I have done implants over the muscle under local with sedation, but I think to do sub muscular implants that way, it would be almost impossible to both make you comfortable and have you breathing on your own. There was a tragic death of a girl from Wisconsin a few years ago, who went to Florida for her breast augmentation, which was not done by a board certified plastic surgeon, in fact the person was not even a doctor. Make sure if you have your operation done in an office, that the plastic surgeon has privileges to do the surgery at a local hospital.