Awake Breast Augmentation with Local Anesthesia

Most people researching awake breast augmentation with local anesthesia want a lighter alternative to being fully put under. Instead of the general anesthesia most clinics use, Dr. Leonard Grossman’s practice standard is local anesthesia with advanced IV sedation, at his Brooklyn, NYC surgery center. Saline implants placed through the navel (TUBA) often take about 20 to 30 minutes, nausea is highly unlikely, and most patients return to work the next day.

Dr. Grossman reassuring a patient about awake breast augmentation with local anesthesia

Our Breast Augmentation Services

Implant and fat transfer breast augmentation, each performed under local anesthesia with sedation at Dr. Grossman’s Brooklyn surgery center.

Silicone Gel Implants

Silicone gel breast augmentation with Mentor or Allergan cohesive gel implants inserted under the breast or around the areola, under the practice standard of local anesthesia and advanced sedation.

Saline Implant Augmentation

Saline breast augmentation through TUBA: a small incision inside the navel, IV sedation with dilute local anesthetic, often about 20 to 30 minutes in surgery, no drain, and only a small scar hidden inside the navel.

Fat Transfer Augmentation

Fat transfer breast augmentation moves your own purified fat into the breast through tiny entry points for minimal scarring, with liposuction performed under the tumescent local anesthesia Dr. Grossman favors.

Local Anesthesia With Sedation

Augmentation Under Local Anesthesia and Sedation

Patients who search for awake breast augmentation with local anesthesia usually want one thing: to avoid general anesthesia. That has been Dr. Leonard Grossman’s standard for decades. His practice standard combines local anesthesia with advanced IV sedation for saline TUBA, silicone gel and fat transfer augmentation, and you recover in the same room where surgery took place before going home the same day. Each augmentation is planned around your anatomy and goals, aiming for natural-looking, outstanding results that suit your proportions.

Dr. Grossman seeing a breast augmentation patient off home the same day after local anesthesia
Comfortable Recovery

Patient Experiences

TUBA patients are served hot tea on waking and are usually ready to go home within about half an hour.

"I had my breast augmentation in 2018. I was very young. It’s been years and it’s always amazing the compliments I get. Absolutely no scaring. I did the TUBA procedure and I recommend everyone."

Diane Fernandez

"Dr Grossman is the absolute best, I originally went into his office looking to get a bbl, breast lift and tummy tuck, however during my consultation I found out I didn’t have enough fat for the bbl and so he explained that with the tummy tuck and breast augmentation my..."

rosé Pujols

"Dr. Grossman demonstrated exceptional skill and professionalism throughout my procedures. His expertise in both liposuction and breast fat transfer was evident, and his supportive care contributed significantly to my positive experience. I am delighted with the outcomes and would highly recommend Dr. Grossman to anyone considering similar cosmetic procedures."

Margarita Bronshteyn

"Let me just start off by saying that I came into this procedure with a lot of people telling me their “personal” experiences with other surgeons and had a slight fear. As a mother to two boys, one crazy 5 year old and a 10 month old baby, it was..."

Sofya Yershova

"Had an amazing experience with Dr.Grossman....all the staff members are amazing and easy to talk to.....2 weeks post op full tummy tuck and fat transfer to breats and already back to my normal routine.....2 👍 up!!"

Inna Yakubob

"I had my breast augmentation in 2018. I was very young. It’s been years and it’s always amazing the compliments I get. Absolutely no scaring. I did the TUBA procedure and I recommend everyone."

Diane Fernandez

"Dr Grossman is the absolute best, I originally went into his office looking to get a bbl, breast lift and tummy tuck, however during my consultation I found out I didn’t have enough fat for the bbl and so he explained that with the tummy tuck and breast augmentation my..."

rosé Pujols

"Dr. Grossman demonstrated exceptional skill and professionalism throughout my procedures. His expertise in both liposuction and breast fat transfer was evident, and his supportive care contributed significantly to my positive experience. I am delighted with the outcomes and would highly recommend Dr. Grossman to anyone considering similar cosmetic procedures."

Margarita Bronshteyn

"Let me just start off by saying that I came into this procedure with a lot of people telling me their “personal” experiences with other surgeons and had a slight fear. As a mother to two boys, one crazy 5 year old and a 10 month old baby, it was..."

Sofya Yershova

"Had an amazing experience with Dr.Grossman....all the staff members are amazing and easy to talk to.....2 weeks post op full tummy tuck and fat transfer to breats and already back to my normal routine.....2 👍 up!!"

Inna Yakubob

"I had my breast augmentation in 2018. I was very young. It’s been years and it’s always amazing the compliments I get. Absolutely no scaring. I did the TUBA procedure and I recommend everyone."

Diane Fernandez

"Dr Grossman is the absolute best, I originally went into his office looking to get a bbl, breast lift and tummy tuck, however during my consultation I found out I didn’t have enough fat for the bbl and so he explained that with the tummy tuck and breast augmentation my..."

rosé Pujols

"Dr. Grossman demonstrated exceptional skill and professionalism throughout my procedures. His expertise in both liposuction and breast fat transfer was evident, and his supportive care contributed significantly to my positive experience. I am delighted with the outcomes and would highly recommend Dr. Grossman to anyone considering similar cosmetic procedures."

Margarita Bronshteyn

"Let me just start off by saying that I came into this procedure with a lot of people telling me their “personal” experiences with other surgeons and had a slight fear. As a mother to two boys, one crazy 5 year old and a 10 month old baby, it was..."

Sofya Yershova

"Had an amazing experience with Dr.Grossman....all the staff members are amazing and easy to talk to.....2 weeks post op full tummy tuck and fat transfer to breats and already back to my normal routine.....2 👍 up!!"

Inna Yakubob
The Dr. Grossman Difference

Why Choose Dr. Leonard Grossman?

Breast augmentation planned around lighter anesthesia, short operating times and a same-day trip home.

Local Anesthesia Standard

Local anesthesia with advanced IV sedation is the practice standard for breast augmentation.

Less Anesthesia With TUBA

Saline implants placed through the navel in about 20 to 30 minutes need much less anesthesia.

Fully Accredited Facility

Surgery takes place in Dr. Grossman’s AAAHC-accredited Brooklyn surgery center, with no hospital stay.

Wake Up Smiling

After TUBA, “you will most likely smile, not cry or whimper like you may have seen on TV.”

Meet Dr. Leonard Grossman

Meet the Brooklyn surgeon who performed his first liposuction under local anesthesia in 1993.

Portrait of Dr. Leonard Grossman, Reconstructive and Plastic Surgeon

Dr. Leonard Grossman

Reconstructive and Plastic Surgeon

Dr. Leonard Grossman is a Brooklyn, New York City plastic and reconstructive surgeon with more than 30 years of experience and a pioneer of Organic Plastic Surgery, using patients' own fat in place of synthetic materials. He earned his medical degree from New York Medical College in 1985, completed his internship and General Surgery residency at Beth Israel Medical Center, and completed fellowships in Microsurgery at Montefiore Hospital and Burns and Reconstruction at Jacobi Hospital. In 1995 he completed a fully accredited plastic surgery residency at Scott & White Memorial Hospital in Texas; his practice reports he became the first American plastic surgeon to use Ultrasound Assisted Liposuction that year. He pioneered calf augmentation with fat grafting in 1995 and, by his practice's count, has performed more than 4,500 calf augmentations. He operates at his fully accredited (AAAHC) surgery center at 3039 Emmons Ave in Brooklyn. Recognized by the Castle Connolly Guide, Vitals.com and RateMDs.com, he is dedicated to privacy, professionalism, and helping patients make informed decisions about their care.

Frequently Asked Questions

What kind of anesthesia do they use for breast augmentation?

Unlike most clinics, which use general anesthesia, Dr. Grossman performs breast augmentation with local anesthesia combined with advanced IV sedation, often called twilight or light sleep. For transumbilical breast augmentation (TUBA), the local anesthetic is a dilute lidocaine and Marcaine mixture, and the technique requires much less anesthesia than other approaches. Nausea afterward is highly unlikely, and your exact anesthesia plan is confirmed at consultation.

What is awake breast augmentation with local anesthesia?

What breast augmentation options are available?

Can breast augmentation be performed using fat transfer?

How do silicone-gel and saline implants differ?

Who may be a candidate for awake breast augmentation?

What happens during a breast augmentation consultation?

Where does Dr. Grossman provide breast augmentation consultations?

Still Have Questions About Local Anesthesia?

Ask how local anesthesia and IV sedation would work for your breast augmentation.

Recognized By Medical Listings

Awards and Recognition

Castle Connolly Guide recognition

Castle Connolly Guide

Listed as one of the best plastic surgeons in New York City.

Vitals.com recognition

Vitals.com

Listed among recommended plastic surgeons by Vitals.com.

RateMDs.com recognition

RateMDs.com

Listed among recommended plastic surgeons by RateMDs.com.

Vitals.com Top 10 recognition

Vitals.com Top 10

Recognized by Vitals.com among its top 10 plastic surgeons.

Discuss Your Breast Augmentation Goals

Contact Dr. Grossman’s practice to ask about anesthesia, choose your augmentation method and request a quote.

Contact Us Today

For immediate assistance, feel free to give us a direct call at 212-585-2133. You can also send us a quick email at drgrossmanstaff@hotmail.com.