Implant removal after mastopexy and augments?

Question

Can you have silicone implants removed under local anesthesia after a mastopexy/augmentation?

Alan Gonzalez, MD, FACS · Answer

Hello @kmcrae8, thank you for your question. Yes, you can have implants removed under local anesthesia. However, it is not recommended because the peaks of local anesthesia are very high and when removing the prosthesis the capsule remains inside which can cause long-term complications if there are health problems related to the implants.. For more information and recommendations is advisable to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.

Nelson Castillo, MD · Answer

Thank you for sharing your question.  Yes you can typically have the implants removed under local after an augmentation mastopexy.

Daniel Barrett, MD · Answer

Dear kmcrae8,
generally speaking, it is possible to remove implants under local anesthesia. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

Yes, it is possible to remove implants under local anesthesia after augmentation and lift, but it may not be recommended.  I encourage you to visit with a board certified plastic surgeon near you to see what is best in your situation.

Jorge Galaz, MD · Answer

It is possible, but I believe most surgeons would prefer doing such procedure under general anesthesia. 
GreetingsDr. Galaz

Connie Hiers, MD, FACS · Answer

Yes, both saline and silicone implants can be removed under local anesthesia, especially if there is not problem with the capsules, and the gel implants are not ruptured.  Saline implants are very easy to remove under local since they can just be drained and removed through a small incision.

Raffy Karamanoukian, MD, FACS - Account Suspended · Answer

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

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Implant removal after mastopexy and augments?

Answers (7)

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