What awake lipo and fat transfer to the butt would be best for me? (Photo)

Hi and welcome to our forum!
From your photos, I note fullness of the abdomen, flanks, and hips associated with moderate stretch marks of the lower abdomen. There is a small suprapubic shelf. The buttocks are relatively small.
From height and weight data, your BMI is 25.09, on the cusp between normal and "slightly" overweight.
Stretch marks indicate the presence of permanently damaged overstretched skin where the dermal elastic fibers have ruptured resulting in the loss of elasticity. The skin may stretch over a greater area, predisposing to sagging.
The Brazilian butt lift is performed by performing liposuction in areas of fatty tissue excess and transplanting it into the buttocks to improve shape and size.
The procedure can be performed under local anesthesia or IV sedation if smaller volumes are required with only one or two areas treated, or under general anesthesia for larger amounts or number of treated areas. There is a limit in the amount of local anesthetic which can be safely administered before toxicity results.
From the number of areas requiring treatment, I think you would be best served having the procedure performed under a general anesthetic. Anything less will be a compromise.
Visit a board certified plastic surgeon for in-person evaluation and discussion.
Best wishes...

Hello Carol, thank you for your question and for posting some photos. Based on the photos you provided, it appears you may be a good candidate for cosmetic surgery. For a definitive answer, I recommend in-office evaluations from qualified surgeons experienced in these procedures.
Good luck,
Dr. Adam Kinal

The amount of volume of fat to be harvested and injected will be too high to avoid general anesthesia. In order to contour these areas and inject fat appropriately, 3-4L of liposuction will likely need to be performed. This amount of liposuction, not to mention the actual injection of the fat, will preclude you from undergoing this procedure without general anesthesia.