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Armando Soto, MD answers: Local anesthesia for Brazilian Butt Lift?

I am afraid of getting general anesthesia, but want to get a brazilian butt lift. Can it be performed under local anesthesia?


Armando Soto, MD
6 months ago

Hi there-

A few things are important for you to understand...

First of all, for healthy people, modern anesthesia is low risk (anesthesia techniques and medications have advanced with technology just like everything else), and for many procedures, the risk of general anesthesia is much lower than the risk of trying to do the procedure under sedation, because with deep sedation there is no control of your airway.

Secondly, it is very important for you to understand that there is a very significant difference between whether something CAN be done, and whether it SHOULD be done.

Brazilian Butt Lift surgery is a procedure I do often, and I can tell you that I would never consider attempting it under local- it would be prohibitively painful for the toughest of patients, and if you are in pain, it is impossible to do our best work, because rather than concentrating on the task at hand, I will be worrying about the pain I am causing you. Also, if you are in pain, it will be nearly impossible for you to hold still while we work, further compromising the outcome of the operation. This almost guarantees that you will not get the nice outcome you desire. Furthermore, because there is a limit to how much numbing medicine we can give you, there is a very real possibility that some portion of the procedure will have to be abandoned or postponed for another day because this limit is reached.

Compromising your outcome before the surgery ever starts because you  want to avoid the anesthesia doesn't make any sense. If what you want is a big, beautiful, round butt, there are ways of achieving this for you- but not without appropriate anesthesia. 

Give it some thought and discuss it with a surgeon certified by The American Board of Plastic Surgery. 

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