Are there any board certified doctors who perform a BBL with local anesthesia?

be careful, most doctors doing awake BBL are not real plastic surgeons but call themselves board certified cosmetic surgeons these are doctors who have taken a weekend course in liposuction. I would recommend you find a plastic surgeon who is board certified by the American Board of plastic surgery. In my opinion a BBL can be done awake but you have to put volume of numbing fluid in the buttocks to numb it up otherwise you're going to feel it and this means that you could be putting less fat grafts in the buttocks which means your result would be much less. The more fat you can put in the better results. Best of luck

Hello and thank you for the question. It is possible to have this done under local anesthesia. However, for most patients i do NOT recommend this. It is always better to be under anesthesia. When the patient is awake, a much larger dose of local anesthetic must be used to achieve a degree of numbness that the patient can tolerate. This causes difficulty in assessing the evenness of fat removed because the tissue is very swollen at this point. Second, there are REAL health risks associated with high doses of local anesthetic. Although there are risks of general anesthesia, these risks are very rare. As long as the procedure is performed in a fully licensed surgery center or hospital setting, there are safeguards in place to protect the health and well being of the patient. No doctor wants you to end up on the evening news. We do everything possible to be as safe as possible. You should seek several consultations with board certified plastic surgeons before making any final decisions. 

As always, best to be healthy, no smoking and make sure any health conditions you have are managed by your primary care md. 

Best to you.