Safe to Remove Saline Implants by Puncturing, Draining, then Stitching Up?

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

Good day! Keeping a deflated implant does not cause serious illness but aside from asymmetry,
it may cause discomfort in the long run. It is best to
have an in-person examination with a board-certified plastic surgeon and discuss your options for best results. Best
of luck! #RealSelf100

When patients have soft,
pliable breast implants with no evidence of capsular contracture, implant
removal can be relatively simple.Under
these circumstances, removal can be performed under local anesthesia.The procedure involves a small incision in the
inframammary fold.Through this incision
the implant is perforated and the saline removed.The deflated implant is then removed and the
wound closed.This procedure is associated with excellent clinical
results and short recoveries.If you
have saline implants and are considering implant removal, it’s important to
discuss this option with your plastic surgeon.Your surgeon should be able to formulate a treatment plan that addresses
your anatomic findings and achieves your aesthetic goals.

Yes saline implants (silicone as well) can be removed under local anesthesia. Saline implants are typically deflated with needle aspiration, a small incision is placed and the implant removed. 

Breast implants can certainly be removed(explantation) under local anesthesia. In regards to the capsule, there is some controversy among surgeons if this should be removed and this is difficult to perform under local.