Local Anesthesia for Brazilian Butt Lift?

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.

Thank you for your question. A Brazilian butt lift is performed under general anesthesia. I would advise you to
schedule a consultation with a board certified plastic surgeon for a detailed
examination to discuss all possible treatment options and what your
expectations are.

Getting a Brazilian Butt Lift under local anesthesia can be very painful and is not recommended. Modern general anesthesia is low risk and has less drawbacks. 

Because of increasing popularity, patients may seek BBL to be done under local anesthesia. Traditional anesthesia is a safe option for healthy patients and is required in order to harvest a large amount of fat from multiple areas. For patients seeking a dramatic increase in the buttocks with the simultaneous reduction of multiple other areas such as the waist for a maximum result, traditional anesthesia with sedation is needed.For patients who do not want to undergo general anesthesia and only desire a moderate increase in the buttocks with one or two areas of liposuction, local anesthesia is a safe option in the hands of surgeons with experience with both techniques. It can be done effectively and with little or no discomfort if done properly with minimal downtime and a much faster recuperative time. However, it is important to stress that smaller amounts of fat are injected at one time. Many of our patients who have it done under local tolerate it so well that they return on multiple occasions to gradually increase their buttock size in stages. With this option, BBL can be done safely, comfortably and with a shorter recovery time and at a lower cost because an anesthesiologist, extra nursing staff and excess operating room costs are avoided.Traditional and local anesthesia BBL achieve different goals for different patients. Please get an in person consultation with a qualified plastic surgeon to see which is appropriate for you and good luck. 

Although it’s possible to perform a brazilian butt lift with
local anesthesia and I.V. sedation, it’s probably not a good idea for a variety
of reasons. As a result, the vast
majority of plastic surgeons prefer performing this procedure under general
anesthesia.Local
anesthesia has several major drawbacks when utilized for brazilian butt lift
surgery.These include the length of the
case, the multiple numbers of distinct anatomic areas that are utilized as donor
sites, the potential for significant breakthrough pain and discomfort and the
potential for airway problems in patients who may require multiple position
changes.These
potential problems might lead the surgeon to decrease the length of the
procedure and limit the amount of fat harvested from donor sites.Ultimately, this could potentially have a
negative impact on the overall results of brazilian butt lift surgery.In
contrast, general anesthesia is safe and comfortable and doesn’t impose any of
these limitations on the surgeon.This
approach allows the surgeon the time necessary to meet the patient’s aesthetic
goals and expectations.If
you’re concerned about anesthesia and brazilian butt lift surgery, it’s
important to consult a board certified plastic surgeon.This surgeon should be able to answer all
your questions and alleviate your anxiety regarding this topic.

Brazilian butt lift is normally performed with local anesthesia, ideally with sedation (so-called "twilight").Since we have the waterjet fat harvest technique available, we do not need to resort to more invasive forms of anesthesia.Fat harvest is much faster.

 

Also infiltration of local anesthesia and suction is simultaneous in the waterjet technique, so there is no fluid overload which further contributes to the safety of the procedure.

 

Therefore, Brazilian butt lift is best done under local anesthetic if Body Jet is used to harvest the fat.