Breast augmentation has long been one of the most popular cosmetic surgery procedures in the UK and the world. Recent celebrities such as Kylie Jenner have talked openly about their boob job. Traditionally performed under general anaesthetic, many patients now ask: “Can I get breast implants under local anaesthetic?” The answer is yes — and this technique is known as awake breast augmentation.

This modern approach allows patients to undergo breast enlargement without being put to sleep, reducing recovery time and anaesthetic risks. Mr Nassab is one of the first plastic surgeons in the UK to offer wide awake breast augmentation using the Motiva Preservé technique.

If you’re considering breast implants but want to avoid general anaesthesia, then this may be the solution for you.

What is Awake Breast Augmentation?

Awake breast augmentation, also known as local anaesthetic breast augmentation, involves placing breast implants while the patient remains awake but comfortable. Instead of general anaesthetic, the procedure uses a combination of local anaesthesia to numb the area. Some surgeons may give some sedation as well but Mr Nassab has pioneered total wide awake breast implant surgery.

The technique is rapidly gaining popularity due to its faster recovery and reduced downtime. Patients are able to walk out of the operating theatre after the procedure and resume light activity the following day.

Why Choose Breast Implants Under Local Anaesthetic?

There are several compelling reasons why patients choose awake breast augmentation:

1. Avoiding General Anaesthetic

You may be worried about being put to sleep and this is normal. Some individuals are apprehensive about going under general anaesthesia due to associated risks or past negative experiences. Awake breast augmentation offers a safer alternative for those with medical conditions or personal preferences.

2. Faster Recovery

Since the body doesn’t need to recover from general anaesthesia, patients often report less grogginess, nausea, and fatigue post-op. This leads to a quicker return to normal routines. There is no associated sickness following the wide awake boob job.

3.  Reduced Risks

Local anaesthetic carries fewer systemic risks compared to general anaesthesia, particularly for patients with cardiovascular or respiratory issues.

4.  Patient Involvement

Some patients find reassurance in remaining awake and being aware of the procedure, especially when they can interact with their surgeon. As a surgeon it is nice to be able to talk to the patient during the procedure and keep them updated.

How Does Awake Boob Job Work?

The procedure follows the same principles as traditional breast augmentation, with the key difference being the method of anaesthesia.

1. Pre-Operative Preparation

You’ll be assessed during a consultation to determine if you’re suitable for surgery under local anaesthetic. You will be given some pain killers and antibiotics through a drip in the arm or hand. The surgeon will then inject the area to make it numb. The local anaesthetic solution contains short and long acting anaesthetic and adrenaline which is injected into the surgical area to numb the tissues and reduce bleeding.

2. Surgical Technique

The surgeon will make a small incision in the breast crease. The incision with the awake boob job is usually smaller than traditional techniques. Mr Nassab uses the special balloon device from the Motiva Preserve to create the pocket. This technique causes less trauma to the tissues and preserves breast tissue and nerves which again help with recovery. The implant is inserted using a special funnel which helps reduce the risks of infection and capsular contracture. We then stitch the incision and apply a small dressing and support bra. You can then walk out of the operating room when the procedure is finished.

3. Duration

The surgery typically takes between 30-45 minutes.

Who is Suitable for Awake Breast Augmentation?

Not everyone is an ideal candidate for breast implants under local anaesthetic. However, many healthy individuals with realistic expectations are suitable.

Ideal candidates include:

• Patients with a healthy BMI and no significant medical conditions.
• Those desiring moderate size enhancement. The largest implant possible with this technique is 320cc.
• Patients who prefer a quicker recovery and minimal downtime.
• Individuals anxious about general anaesthesia.

Awake augmentation may NOT be suitable for:

• Very anxious patients who may struggle to remain still or relaxed.
• Those requiring complex reconstruction or combination procedures.
• Very large implant placements, which can require more dissection and longer operative times.
• Patients with certain allergies or contraindications to local anaesthetic agents.

Types of Implants Used in Awake Surgery

The awake boob job uses the Motiva Preservé implants to perform the procedure. These are the Motiva Ergonomix 2 implants which are one of the most advanced implants currently available in the market. They have low rates of capsular contracture and ALCL.

Is the Procedure Painful?

Pain perception varies, but most patients describe the experience as “pressure” or “pulling” rather than pain. The numbing effect of tumescent local anaesthetic lasts for several hours, and patients are given oral pain killers afterwards. During the procedure, you may hear sounds or feel movement, but you will not feel sharp pain.

Recovery After Awake Breast Augmentation

The recovery process is typically quicker compared to general anaesthetic surgery. Here’s what to expect:

Immediate Recovery:

• You’ll be monitored for a short period in the recovery room.
• Most patients go home within 1 hour.
• Mild swelling and bruising are common.

First Few Days:

• You may feel tightness in the chest.
• Light activity can resume within 24–48 hours.
• Pain is generally well controlled with paracetamol or ibuprofen.

Weeks 1–6:

• Avoid vigorous exercise, upper body workouts, and lifting heavy objects.
• Wear a post-operative support bra for 6 weeks.
• Attend follow-up appointment for wound check at 1 week.

Most patients return to work within 3–5 days, particularly those in non-physical jobs.

Risks and Complications

All surgical procedures carry some risks. Although awake breast augmentation reduces certain risks, others remain:

• Infection
• Bleeding or haematoma
• Capsular contracture
• Implant displacement or asymmetry
• Unsatisfactory cosmetic outcome
• Temporary or permanent changes in nipple sensation
• Anxiety during the procedure (if sedation wears off or is insufficient)

These risks are the same as traditional breast augmentation techniques.

Motiva Preservé at CLNQ Deansgate Hospital Manchester

At CLNQ Deansgate Hospital, we specialise in bespoke awake breast augmentation using the latest technique Motiva Preserve. Our clinic, led by Mr Reza Nassab, a highly respected Consultant Plastic Surgeon, offers this cutting-edge procedure in a luxury setting.

We provide:

• In-depth consultation and 3D imaging for implant sizing
• Natural-looking results tailored to your body
• Transparent pricing with no hidden costs

FAQs About Awake Breast Augmentation

Can I see the results straight away?

Yes, you’ll see an immediate enhancement, although swelling will slightly distort the shape for a few weeks.

Will I feel anything during the procedure?

You’ll feel pressure or movement but not pain. If you feel discomfort, more local anaesthetic can be administered.

Can I choose my implant size during surgery?

Sizing is planned during your consultation. You will usually have 2 consultations to give you time to decide on the sizing.

How soon can I drive after awake breast augmentation?

Usually within 5-7 days, once you are off prescription painkillers and feel confident to handle a vehicle.

Cost of Awake Breast Augmentation in the UK

At CLNQ Deansgate Hospital, awake breast augmentation starts from £9,500. This includes:

• Hospital fees
• Motiva Preservé implants
• Surgical and nursing fees
• Anaesthetic fees
• Post-operative care

Finance options are available for the Motiva Preservé with monthly payments from £315. To find out more about finance options for Preserve please contact CLNQ.

Is Awake Breast Augmentation Right for You?

Awake breast augmentation is a safe, effective, and increasingly popular option for women seeking breast enhancement without general anaesthetic. It offers faster recovery, fewer systemic risks, and high patient satisfaction.

However, it’s not suitable for everyone. A thorough consultation with Mr Nassab plastic surgeon will determine whether you’re a good candidate.

If you’re in Manchester or Cheshire and are considering breast implants under local anaesthetic, contact CLNQ today to book your consultation with Mr Reza Nassab.