Is the recovery faster for BBL with local anesthesia?

Question

I have seen faster results with this procedure and Carboxy Pneumo dissection, smart lipo afterwards to tighten the skin and under local anesthesia. I just watched a doctor that stated if PRP or Cell recovery is used you should be able to sit immediately?

Jaime S. Schwartz, MD, FACS · Answer

Getting a Brazilian Butt Lift under local anesthesia can be very painful and is not recommended. Modern general anesthesia is low risk and has less drawbacks.

Kenneth Hughes, MD · Answer

You do not necessarily need general anesthesia, but I do think it is a better patient experience.   I have performed many of these procedures with local and sedation, but it is certainly not for everyone and risk benefit analysis must be performed for each patient. If you want as much projection with a high volume transfer, local with sedation is probably not a good idea.  Having to transfer 1200 cc to 2000 cc per buttock is very painful for the patient. Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

Steven H. Williams, MD · Answer

Thanks for your question -Typically the amount of volume of fat harvesting required for brazilian butt lifts (liposuction and fat transfer to hips and buttocks) typically means that local anesthesia isn't a practical way to have surgery done.  I hope that helps!

David Shifrin, MD · Answer

It sounds wonderful but unfortunately there is no scientific data or studies to support this. I always counsel by patients that you get what you pay for in life. If you want real results you need real surgery with a real recovery. Best

Bryan Criswell, MD · Answer

Thank you for your question. For smaller procedures, like removing moles or revising scars, local anesthesia can be a great choice. For larger procedures, I tell all of my patients the same thing. My goals as your surgeon are your safety, outcome and comfort. In that order. When you have a larger procedure performed under local, you often sacrifice one or all of those main goals. Having this surgery under general anesthesia allows the patient to be monitored under anesthesia, have the highest level of comfort, and for the surgeon to be more aggressive with the liposuction needed. As far as PRP goes, we are still investigating its uses, but are optimistic that it can help with the take of the grafting. I will still recommend to patients that they avoid sitting in one position for long periods of time. t’s important to make sure you search for a board certified plastic surgeon who has experience in this type of surgery. Best of luck.

Andrew Gear, MD · Answer

While patients can recover more quickly on that first initial day following a procedure under local anesthesia, it does not change the global recovery. A BBL is best performed under some form of General anesthesia.   I have to revise a lot of people who have had  attempted BBLs under local anesthesia. As for this new dissection technique and PRP voiding the need to sit, I don’t buy that for a second.  It sounds like a sales gimmick. Pressure is pressure when it comes to cell survival after grafting.

Is the recovery faster for BBL with local anesthesia?

Answers (6)

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