Yes, many patients with needle or surgery anxiety can be helped, but do not take any medication on your own before surgery. Breast augmentation is done with anesthesia, and sedatives, anti-anxiety medicines, pain medicines, alcohol, herbal products, or sleep aids can interact with anesthesia and affect safety. Tell your plastic surgeon and anesthesia team ahead of time about the needle phobia. They can plan options such as a preoperative anxiolytic given at the proper time, numbing cream or local anesthetic before IV placement, having an experienced team place the IV, and a calm step-by-step plan. If anxiety is severe, it is worth discussing it before the surgery day so the plan is documented and safe.