I had local anesthesia but with sedation. If i remember it right, I had a total of 700cc taken out of me, I just dont know how much gland is in that. Pain is tolerable, I'm giving it a 4 in a rating of 1 to 10 with 10 being the most painful. The pain mostly come from the repositioning of the nipple/areola portion not from the incision/lipo.