Can breast implants be removed under local anesthesia? 400 cc, silicone gel implants

Thank you for your question. I personally do not recommend removing your implants under local sedation. For a proper explant, you must remove the entire caspule and the breast implant. This is called En bloc or 100% total capsulectomy. This procedure averages around 3 1/2 - 4 hours. I recommend twilight sedation (local plus IV sedation) for all of my patients.

Dear Brave271146,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Yes, it is slightly more challenging, but for most patients, implants can be removed under local anesthesia. I would recommend the addition of sedation. The medication for sedation can be administered orally, by injection or intravenously. I personally favor the later.

Under ideal conditions, removal of silicone gel implants can be very straightforward. If your tissue is thin, the implants are intact, there is no capsular contracture, then the implants could be removed relatively easily. What might make it somewhat more difficult is that the implants are ruptured and then, the free silicon in the pocket would need to be cleaned out and this may be uncomfortable under only local anesthesia. The 20 minutes that it takes to remove implants under general anesthesia, allows, your surgeon to deal with any eventuality with you asleep and comfortable. Best wishes.

Hello @Brave271146, thank you for your question. It is always safer to use general anesthesia for a surgical procedure. General anesthesia has been used safely in hundreds of thousands of surgeries each day, with very few adverse events being reported. In fact, many studies have suggested that using general anesthesia for major procedures such as this one can actually reduce the risk of complications compared to using local anesthesia. Best wishes!

Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).

Yes, breast implant removal can be performed under local anesthesia, depending on various factors such as the individual's health condition, the extent of the procedure, and the surgeon's preference. However, it is unlikely other adjunct procedures can be achieved this way such as gland reconstruction of an uplift.
it's essential to discuss your specific concerns and preferences with your surgeon to determine the most suitable anesthesia option for you.

Thank you for sharing your question and I am sorry to hear of the issues you are dealing with after your procedure. Although more information on the style of silicone implants used are needed to provide you the best answer, in most cases they can be removed under local. Hope this helps.

Hi there,
Sorry to hear, but yes implants can be removed under local anesthesia. You need to consider if a breast lift will be needed after the implants are removed however. For this please go see a Plastic Surgeon in your area of their opinion.
All the best

Sometimes breast implants can be removed under local anesthesia. If you are needing a revision to your lift or wish to have the capsules removed then general anesthesia is recommended. Visit with a board certified plastic surgeon near you to determine what is best in your situation.

Yes, non-ruptured gel implants can be removed under local anesthesia. However, if you want the capsules removed and/or a lift done, you will need more than local anesthesia for this.