Is it possible to stay awake during a BBL?

Question

I have concerns about receiving general anesthesia and wanted to know if having a BBL awake is an option with local anesthesia.

Kenneth Hughes, MD · Answer

The surgery is difficult to perform under local.  To get the best result, you should be relaxed and not experiencing any pain.  Find a BBL expert who performs hundreds of BBLs each year and has great reviews and great  before and after pictures.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

Kevin Tehrani, MD, FACS · Answer

Thank you for your question.  It is difficult to determine without any photos if you are a good candidate for this procedure.  Brazilian Buttocks Lifts are usually performed under general anesthesia but sometime can be performed under local depending on the areas of liposuction, time of the procedure, etc.  An in person consultation would be necessary to give precise recommendations.

Tania Medina de Garcia, MD · Answer

Hello dear!!Thanks for the question.You can have the BBL with a epidural anesthesia, but you probably fall asleep due to sedation. But, i recommend you to ask your plastic surgeon about it and make sure you talk with the anesthesiology about your concerns and doubts.Good luck :)

Erika Sato, MD, FACS · Answer

Honestly, there really isn't a way to do a good thorough BBL awake. Your results will be compromised. I do the majority of my BBLs under TIVA (total IV anesthesia). I have an amazing anesthesiologist!

Paul C. Zwiebel, MD (retired) · Answer

It is theoretically possible to use local anesthetic and avoid deep IV sedation or general anesthesia. However, it may be preferable to use general anesthesia or deep sedation for your safety, your comfort, and for better surgical precision.For you to be awake and comfortable, the volume of local anesthetic may be more than is safe , may interfere with graft take, and of enough volume to interfere with precise contouring. It is important for you to have your surgeon address your concerns, including your concerns or fears regarding general anesthesia, so you can make an informed decision, and what is the best choice for you.

George Commons, MD (retired) · Answer

You must have general anesthesia for a BBL.   The discomfort associated with the liposuction and injection demands general anesthesia. In addition the buttocks would need to be injected with local anesthesia and this would confuse good judgement of fat injection.   My Best,  Dr Commons

Is it possible to stay awake during a BBL?

Answers (6)

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