If I choose local anesthesia instead of general during fat transfer to butt, will I still feel any pain?

The injection of the local anesthesia will hurt.  In addition, the local anesthesia will not prevent you from feeling some pain during the procedure.Kenneth Hughes, MDLos Angeles, CA

Thank you  for your awesome question! Your bio is very helpful, however without the benefit of knowing your full health history and an in person exam it's impossible to say for certain. 
I perform many BBL plastic surgeries on patients from all over the country.  I would recommend you have an in person consultation with a plastic surgeon with these credentials: *Board Certified by the American Board of Plastic Surgery -- The gold star symbol*A member of the ASPS (American Society of Plastic Surgeons) -- The circle symbol*A member of the ASAPS (American Society of Aesthetic Plastic Surgeons) -- the Queen Nefertitti symbol with a Triangle  *On faculty at local plastic surgery teaching program -- in our office we are affiliated with both Duke and UNC schools of plastic surgery.    Feel free to contact our office, it would be our pleasure to answer your questions in person. I hope this is helpful and wish you all the best in your journey.  My sincere best, Brian S. Coan, MD, FACS 

Hello and thank you for the question. This is a medical decision. The choice between local and general anesthesia, is best made by your doctor who understands the pros and cons of each approach. Having said that, there is a lot you can do under local. A BBL is not one of them. Liposuction is painful and difficult to achieve with just local anesthesia alone. The problem is made worse, when having to administer higher and higher amounts of lidocaine to help you not feel pain. At some point, lidocaine can be dangerous and toxic. In my practice, I see many patients who have had liposuction under local and are not happy with the outcome. They complain of the pain during the procedure, and the results being uneven. The upper abdomen / back area are notoriously difficult to get good anesthesia and due to the more fibrous fat, more difficult to remove. Patients can and should be fully involved in the decision making process, but they should trust in the experience of their doctor to make the best decisions on the technique and methodology of the procedure. Best to you. 

Yes, you will feel some lipo and fat injection when only local is used.  I prefer in most cases for a Bbl to use general.

It can be done under local if you inject only above the gluteus maximus muscle, but to get the best result, you need to put fat above and below the muscle.  Most practitioners who do BBLs under local anesthesia are non-plastic surgeons without hospital privileges for these procedures.  

Thank you for your question. I would say that no we do not like to do fat transfer under local anesthesia.  because we are injecting the fat deep into your tissue it is much to painful and we do not use local anesthesia for this procedure.  We can use local anesthesia for liposuction but it is not recommended for fat transfer.Best of luck,Dr. Hisham Seify