Lipo and BBL under local anesthesia?

Question

Hi I would like to know if I could get lipo and maybe a bbl under local anesthesia? I don't want general at all! And I don't want that much work done just a little from my stomach, maybe inner thighs and MAYBE transferred to my butt for a little more definition. My butt is already pretty big and I have a small waist just want to get rid of unwanted baby fat. But are these procedures able to be done under local anesthesia?

Daniel Barrett, MD · Answer

Dear stokes887,some patients might be candidates for liposuction and fat transfer under local anesthesia, but it is hard to tell without an examination. 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

Karol A. Gutowski, MD, FACS · Answer

Yes, in many cases, lipo can be done awake and under local anesthetic. A BBL can be done that way also. See link below for an example.

Ravinder Jarial, DO · Answer

Greetings. The procedure could be done under local anesthesia. However, there would be limitations depending on pain level, volume that could be injected, etc. This is something to discuss with a plastic surgeon during consultation so the correct treatment plan can be discussed for your situation. Good luck!

Robert J. Paresi Jr., MD, MPH · Answer

Thanks for the question.  Liposuction is routinely done under local tumescent anesthesia.  BBLs are typically done under general anesthesia or IV sedation.  There are a few clinical scenarios where a BBL can be done under local; a small amount of fat be transferred, injections in the superficial plane, and addressing small contour deformities.  In most cases with a BBL, the fat is injected in the both the superficial fat as well as the deeper muscle layers.  These deeper injections are painful.  Using the tumescent technique (local anesthesia) to inject the buttocks will distort the anatomy and is not recommended for bigger fat transfers due to the inability to assess where the fat should be injected.

Lipo and BBL under local anesthesia?

Answers (4)

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