37 yr old with congestive heart failure: heart doc says it's fine to get lipo and fat transfer under local. (Photos)

 Thank you very much for this question. Make sure that you have got the go ahead from your cardiologist. The problem that I see is not the  type of anesthesia you will get, but the amount of fluid that is necessary for a liposuction. Congestive heart failure can be very sensitive to fluid overload.  I am sure that your plastic surgeon has done all his/her due diligence and did a thorough back up check as well as communicated with your cardiologist. Don't be shy to ask him, if he did that I'm sure you have a great experience. Have a wonderful rest of the day and greetings from the beautiful island of Jamaica

   The most important factor is your medical health and obtaining cardiac clearance.Kenneth Hughes, MD.

hello, thanks for your surgeon and provided information as well.. if your surgeon gave you permision to have surgery under local anesthesia and without any problem, and if it's safe for you regarding your actual health conditions, you need to be sure about making your cardiologist give you clearance it's possible. 

I personally do not do aggressive liposuction with fat transfer (or a BBL) under local anesthesia. I routinely do it under TIVA, which is a form of general anesthesia where you are not paralyzed and do not have a breathing tube (intubation). If your cardiologist cleared you for awake lipo and fat transfer, you need to find a board certified PS that performs this procedure under those conditions.