I have 13 year old implants. Right breast had a painful capsule since the very beginning. 1 month ago that right implant popped and thankfully no more pain. I am looking to remove implants and do a full lift (anchor). I have visited several doctors and one doctor will do under local anesthesia and sedation with no drains. Is this common?? I like that the recover will be faster than general anesthesia and no drains but I also want the safest option.
Answer: It is recommended to do this surgery under general anesthesia 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.
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Answer: It is recommended to do this surgery under general anesthesia 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.
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March 13, 2016
Answer: Breast lift and implant removal via local anesthesia? Thank you for your question! Depending on your and your plastic surgeon's comfort level with surgical procedures via local anesthesia, it certainly is a safe procedure and can be done via local only or a little sedation. It is difficult to answer about the appearance of your breasts without a photo or examination. Removal of your implants alone will create a smaller breast with somewhat similar shape. Discuss your concerns with your plastic surgeon and the possibility for a breast lift, either at the same time or at a later date, if deemed necessary. Many times drains are placed as well as compression garments used postoperatively. Cost varies among surgeons as well as geographic location. Certainly, for simple removal without any capsule work, the procedure can be tolerated with local anesthesia alone. I typically prefer to remove the capsule. The addition of a lift with the procedure may be difficult to do simply under local anesthesia. Best wishes!
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March 13, 2016
Answer: Breast lift and implant removal via local anesthesia? Thank you for your question! Depending on your and your plastic surgeon's comfort level with surgical procedures via local anesthesia, it certainly is a safe procedure and can be done via local only or a little sedation. It is difficult to answer about the appearance of your breasts without a photo or examination. Removal of your implants alone will create a smaller breast with somewhat similar shape. Discuss your concerns with your plastic surgeon and the possibility for a breast lift, either at the same time or at a later date, if deemed necessary. Many times drains are placed as well as compression garments used postoperatively. Cost varies among surgeons as well as geographic location. Certainly, for simple removal without any capsule work, the procedure can be tolerated with local anesthesia alone. I typically prefer to remove the capsule. The addition of a lift with the procedure may be difficult to do simply under local anesthesia. Best wishes!
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June 28, 2015
Answer: Is a breast lift with implant removal under local anesthesia safe? I am not a proponent of local with sedation for major breast surgery. I would recommend general anesthesia for safety and optimizing the surgeon's ability to do his/her best work. Often times, during local anesthesia- even with sedation- the patient experience untreatable pain, in which case the procedure is compromised or less effective. Therefore, i recommend general anesthesia for best outcome. For more info about this topic- you can read my blog here:
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June 28, 2015
Answer: Is a breast lift with implant removal under local anesthesia safe? I am not a proponent of local with sedation for major breast surgery. I would recommend general anesthesia for safety and optimizing the surgeon's ability to do his/her best work. Often times, during local anesthesia- even with sedation- the patient experience untreatable pain, in which case the procedure is compromised or less effective. Therefore, i recommend general anesthesia for best outcome. For more info about this topic- you can read my blog here:
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June 27, 2015
Answer: Is a breast lift with implant removal under local anesthesia safe? Thank you for the question. Careful selection of your plastic surgeon will be important. Make sure that you see lots of examples of his/her work, achieving the types of outcomes you will be pleased with. I would NOT suggest that you select your plastic surgeon based on what type of anesthesia he/she offers.A variety of different types of anesthesia may be used for breast lifting surgery depending on the type of surgery being done and the surgeon's/ patient's preferences.In my practice, the majority of breast surgery is done under general anesthesia dnder the supervision of a board-certified anesthesiologist. The majority of patients undergoing breast implant removal surgery, I do utilize drains. I hope this, and the attached link (dedicated to breast implant removal surgery concerns) helps. Best wishes.
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June 27, 2015
Answer: Is a breast lift with implant removal under local anesthesia safe? Thank you for the question. Careful selection of your plastic surgeon will be important. Make sure that you see lots of examples of his/her work, achieving the types of outcomes you will be pleased with. I would NOT suggest that you select your plastic surgeon based on what type of anesthesia he/she offers.A variety of different types of anesthesia may be used for breast lifting surgery depending on the type of surgery being done and the surgeon's/ patient's preferences.In my practice, the majority of breast surgery is done under general anesthesia dnder the supervision of a board-certified anesthesiologist. The majority of patients undergoing breast implant removal surgery, I do utilize drains. I hope this, and the attached link (dedicated to breast implant removal surgery concerns) helps. Best wishes.
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July 18, 2015
Answer: Anesthesia for breast implant removal There are 3 basic types of anesthesia used for surgical procedures:Local anesthesia (patient is wide awake)Local with sedation or conscious sedation anesthesia (twilight sleep)General anesthesia (patient is totally asleep)The type of anesthesia chosen depends on the comfort of the surgeon and the patient. The key is having the procedure performed in a nationally accredited facility with board certified anesthesia coverage. That way you are assured that there are trained professionals to handle any emergency that might arise during the procedure (not like Michael Jackson (twilight sleep) or Joan Rivers (also twilight sleep).The recovery is fastest for the local anesthesia and probably second fastest for the general anesthesia. The longer recovery is probably the twilight sleep because more medication is used to keep you asleep than with the general or local alone. The cost should be the same for #2 and #3 and cheaper for #1.It would appear in this situation that you will have a long procedure 2-4 hours. It is hard to hold still for that long, so I would recommend a general anesthetic.Good Luck!
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July 18, 2015
Answer: Anesthesia for breast implant removal There are 3 basic types of anesthesia used for surgical procedures:Local anesthesia (patient is wide awake)Local with sedation or conscious sedation anesthesia (twilight sleep)General anesthesia (patient is totally asleep)The type of anesthesia chosen depends on the comfort of the surgeon and the patient. The key is having the procedure performed in a nationally accredited facility with board certified anesthesia coverage. That way you are assured that there are trained professionals to handle any emergency that might arise during the procedure (not like Michael Jackson (twilight sleep) or Joan Rivers (also twilight sleep).The recovery is fastest for the local anesthesia and probably second fastest for the general anesthesia. The longer recovery is probably the twilight sleep because more medication is used to keep you asleep than with the general or local alone. The cost should be the same for #2 and #3 and cheaper for #1.It would appear in this situation that you will have a long procedure 2-4 hours. It is hard to hold still for that long, so I would recommend a general anesthetic.Good Luck!
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