Is there a way to have fat transfers to the breasts fully awake and conscious?

hello michelley80  This is a simple procedure and requires local anesthesia, IV sedation,. But you should visit or contact a board certified plastic surgeon to help make a good decision. #options #localanesthesia

Having performed many local liposuction cases including fat transfers, what you ask is definitely doable in the proper patient. This would include limited liposuction of donor site and small fat transfers. There may be some tolerable  discomfort however I agree, the recovery is usually easier.An exam and consultation with a plastic surgeon who performs these procedures is recommended to confirm you are a candidate as well as discuss your options and expectations. 

I'm a specialist in this exact procedure and perform awake fat transfer to the breasts every week in my practice. I completely agree with you in wanting to avoid general anesthesia. It's totally not necessary for this procedure. General anesthesia for this procedure is only necessary for surgeons who lack the experience in successful local anesthesia technique or just prefer to have their patients asleep. Reach to me and I'll let you know if you're a good anatomical candidate. 

Many surgeons will do this to save money on anesthesia; but in many cases, you will need to harvest at least 600 cc of pure fat to perform the procedure.  The liposuction of this amount of fat may be 3 liters of lipoaspirate, and most patients cannot tolerate this with just local anesthesia.  Also, the injection of the fat can be painful as well.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

Yes, fat grafts (transfer) to the breast can be done under tumescent anesthesia, which is a local anesthetic. However, the shots to anesthetize the breast may be uncomfortable. I would suggest oral sedatives to help relax you during the procedure. Liposuctions, required for fat grafts, are done under tumescent anesthesia very frequently.
Thank you for your question, and best of luck to you.