Can you go under “conscious sedation” or “twilight anesthesia” or “local anesthesia” for a BBL?

Thank you for your question. In my practice I use intravenous sedation only and not general anesthesia for all my body contouring cases, including BBLs and tummy tucks. I use the VASER Hi Def Lipo sculpting technique 360 degrees. The sculpting part is almost more important than the amount of fat injected during a BBL. Under strictly local anesthesia, the sculpting I do, down to the muscle fascia and right under the skin would be not possible due to the pain/discomfort of the patient, thus leading to less than optimal results.See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation/ Good luck.

Although the procedure can be performed under local anesthesia, this procedure can be extraordinarily painful for the patient.  You want the most dramatic transformation possible, and you do not want to be in pain. If you want to achieve a maximal result, I would recommend general anesthesia with a board certified plastic surgeon who performs hundreds each year and has a proven record of great results.
Kenneth Hughes, MD, Board Certified Plastic Surgeon
Los Angeles, CA

Hello and Great Question.  I appreciate the time you are spending researching this procedure.  My name is Dr. Matthew J. Nykiel.  I am a Board Certified Plastic Surgeon, a Fellowship Trained Cosmetic Surgeon, and a Butt Augmentation Specialist.
Yes, but you cant get you numb enough to appropriately inject fat to get the best results. I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
I hope that helps!  Best of Luck!
Matthew J. Nykiel, MD
#CoreAesthetic
Butt Augmentation Specialist
Liposuction Specialist
Board Certified Plastic Surgeon