Yes it is possible to perform subglandular/submuscular placement of implants for a breast augmentation using local anethesia, but it is not recommened. The most common and safest approach for breast augmentation is general anethesia. At PREMIERE Center, we have been practicing the breast augmentation procedures for over 19 years with our board certified plastic surgeons on staff ready to consult with you at either our Miami or Tampa locations. Click here to schedule a complimentary consultation today! Best of Luck!