MTHFR gene mutation and Implant removal, would it be possible to remove them under local anesthesia? (photos)

I understand your issue because I dealt with several patients with MHTFR.  Yes you can have those out under local if no capsule is being removed.

Thank you for your question.  If your "encapsulation" is indeed slight, and your capsule ultimately appears normal at surgery, a total capsulectomy is not necessary and there is no need for general anesthesia.  Saline filled implants are easily removed through short incisions in the infra-mammary crease under local anesthesia.

I just had a patient call our office yesterday with Methylenetetrahydrofolate reductase deficiency. This is so crazy! Twice in two days. So it really depends. If you have smooth saline then yes they totally can be removed under straight local. If you have a capsular contracture and need that out it is a totally different ballgame. If there is any possibility that you can leave that capsule then you can do it under local, but I am afraid if you need a capsulectomy you need to at least be sedated, which is not general anesthesia. That with some good breast blocks with local anesthesia will do the trick. You will need to make sure whoever sedates you knows about MTHFR and uses the appropriate medications.  Best of luck.DrRickAZ