Why do some surgeons perform the procedure while the patient is awake or asleep for Brazilian Butt Lift?

I perform several hundred BBLs each year, and I use general anesthesia every time.  The patient should not be in pain while the procedure is performed.  If you want a dramatic transformation, the liposuction should be extensive and the fat transfer significant.  Find an expert at BBLs who has good before and after pictures and good reviews.Kenneth Hughes, MDLos Angeles, CA

Hi. Be very cautious if you are not under general anesthesia and undergo the procedure "awake". Understand that in order to get sufficient fat to transfer, a considerable amount of liposuction is performed. After the fat collection, then it's injected into the buttock region. This will take few hours and involve many areas. There are limits to the amount of local anesthesia that can be safely used and  concerns that too much local anesthesia will be required.Whatever the case, research, research and then research some more. Good luck

While I do many liposuction procedures under local anesthesia, I think that  performing the buttock injection would be uncomfortable without sedation at the minimum.