Is there a big difference if you choose not to have an epidural with a BBL?

Dear arbiasalem,
most plastic surgeons prefer general anesthesia for BBL surgery. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

I use IV sedation for almost all of my BBL procedures. Only a few patients require general anesthesia, but I do not utilize epidural anesthesia for any of my cosmetic procedures (a personal choice for myself and anesthesiologist).
Dr. T