6 months post-op - Can correction be done with local anesthetic?

Had BL w BA along with TT. I discussed with my PS sizing, and requested one implant bigger to compensate for a size of difference I had. She said it wasn’t necessary, and she would correct the asymmetry during surgery by removing a little bit more tissue from the bigger breast. The bigger breast, is now bigger than the other one except with implants. I noticed a little bit of fat near the anchor incisions, can this be corrected with local anesthetic? 6mo p/o.