Is general anesthesia a must when getting a BBL?

It is not a must, but local anesthesia alone is not very effective in allowing the patient to remain pain free and calm during the procedure.

Many surgeons do use a traditional general endotracheal anesthetic to perform a BBL. This means you are asleep, with a breathing tube, usually on a ventilator, and many surgeons position you prone (face down) on the operating table. This is a traditional method used by many plastic surgeons including experts in the field. My own practice is to have patients asleep, but using an IV infusion, avoiding paralysis, an endotracheal breathing tube, gas, and avoiding prone positioning in surgery (my patients start off positioned on their back and are then turned from side to side during surgery). I consider this a "goldilocks" type of anesthesia because you are asleep for the surgery but are still breathing on your own. It is even safer than a traditional general anesthetic because mechanical ventilation (breathing machine), gas, and most importantly, paralysis are eliminated. You can read more at my website if you wish. You are wise to be concerned about the type of anesthesia because this is a very important consideration when having surgery of any type.

Hello,BBL involves a lot of liposuction and a large volume injection into your buttocks. I would not recommend doing this without anesthesia. All the best in your journey,Dr. BlaggAustin, TX

Yes, BBLs are generally done under general anesthesia. In these procedures, general anesthesia is usually safe and best with regards to patient comfort. 

Yes, BBL's are normally done under general anesthesia including in my own practice. Consult your surgeon for his/ her recommendations. Seek a plastic surgeon who performs many of these procedures, has great reviews and photos, and is an expert in this field.

Hello
Is not mandatory to be done under General anesthesia, it depends on several factors. You have choices. It is important that you have confidence in your doctor, he or she knows which procedure is the best for you. 
I suggest you discuss with your plastic surgeon all your concerns. It is possible to perform this procedure under local anesthesia, but your surgeon is the one to give you this options for your personal case. 
Regards
Dr. Israel Mañon
Certified Plastic Surgeon

Hello dear!!

Thanks for the question and provided information as well. 

No it is not, it will depend on the patient and the anesthesiologist recommendations. There are different options regarding anesthesia. 
 I
recommend to book a consultation with a board certified plastic surgeon and discuss the best options for your goals. Good
luck :)

I personally do the great majority of liposuction cases with or without fat transfer using local anesthesia with mild sedation.
I find this to have multiple advantages which include improved safety, greatly enhanced aesthetic outcomes, less bruising, faster recovery and having cost savings.
The majority of plastic surgeons will choose to use a general anesthesia for this case. Some will use deep sedation and a few such as myself will do this procedure using local Anastasia with mild sedation.
In the past I used general anesthesia for these type of procedures.
I had excellent mentors we showed me how to properly get patients in this to taste using local anesthesia.
The learning curve for properly performing both liposuction and fat transfer procedures without general anesthesia is fairly steep.
It is not easily done without having learned how to precisely get every area properly anesthetized with local anesthesia. Paragraph into requires great patience and meticulous attention to detail.
Even if the local anesthetic has been perfectly placed patients will still I have some discomfort during the procedure.
The amount of discomfort varies greatly from patient to patient, how aggressive the treatments are and how much sedation is given.
There are without question and patients to find it somewhat challenging.
You should let each doctor, hopefully board-certified plastic surgeon, choose the form of Anastasia that they feel most comfortable with.
Best,
Mats Hagstrom, MD