Have excess skin that I was hoping to get cut out. Is there an in-office/local anesthesia procedure for this? (photos)

Just removing the excess skin in the office can be done under local anesthesia, but this will be a temporary fix only. You actually need to repeat the lift and reposition your breast tissue and implant. That is not done under local anesthesia.

Dear MMJ12,
It's difficult to tell from the photos whether you had a periareolar or vertical (lollilop) breast lift. In either case, you need a revision breast lift. Consider returning to your operating surgeon if he/she is an American Board of Plastic Surgery board certified plastic surgeon, even though the incisions you had are not great, for an examination, discussion of your concerns and options for improvement. Good luck!