Bbl pain vs Gallbladder removal pain

No, BBL pain is no where as intense or limiting as is gallbladder surgery. The first day after BBL there is an uncomfortable fullness of the buttocks. Sometimes there is a dull aching pain in the muscle itself which can be quite uncomfortable for a couple hours, but in my experience, if the patient is compliant staying off the buttocks after BBL, AND taking their prescribed post operative medicines, this pain subsides within a few days.
I utilize long acting local anesthetic during BBL procedures in anticipation of this acute post op pain and most patients do quite well regarding pain management after BBL surgery.Gallbladder surgery on the other hand, requires the peritoneum (the inner lining of the abdominal cavity) to be violated (cut). This structure is exquisitely sensitive and is unforgiving when irritated in any way. Endoscopic gall bladder surgery is less painful than the "old fashioned" open approaches of yesteryear, but nonetheless, the peritoneum is still violated. A good example of this is comparing the pain of an abdominoplasty vs a C-section. A C-section requires that the peritoneum be violated, but an abdominoplasty only goes as deep as the outer abdominal wall, and does not violate the peritoneum. In my 24 years experience of performing abdominoplasty surgeries, I have always stressed how uncomfortable a patient may be the first couple days after their abdominoplasty. 100% of my patients who have had C-sections tell me that the post op pain of their abdominoplasty was nothing compared to their post op C-section pain. Very same principle as comparing BBL pain with gall bladder surgery pain.
BBL pain can be controlled without the use of narcotics. Pre medicating patients with a combination of NSAIDs, and other non narcotic pain medications, and using the same medications on a regular basis post operatively can control BBL pain to a degree that no narcotic use is needed. The key is patient compliance in taking ALL the medications on a regular basis which controls the source of their pain. (this is known as the "gate theory" of pain control). If a patient allows the post op pain to become too severe before taking their medications, the pain is difficult to control. Approximately a quarter to half of my patients who undergo BBL take no narcotics post op whatsoever, and the remainder take no narcotics after the first 48 hours. Of course there are always the occasional patient who requests narcotics for pain control for a paper cut on a finger. For these patients no amount of medications post op seem to keep them comfortable. If this sounds like your level of pain tolerance, think twice about undergoing ANY type of elective (non life threatening, or emergency) surgery.