Can I get a BBL under local anesthesia?

It is not likely that any board certified plastic surgeon, and these are the best trained surgeons to do BBL, would do such an extensive procedure in local, tumescent anesthesia, in this part of the country. You would mostly see it done by poorly trained family physicians, gynecologist, general surgeons or those without any specialty since current Florida laws allows them to do this type of surgery only in local anesthesia. Comfort and safety are significantly compromised, as well as amount of liposuction/fat transfer that can be performed and ultimately the result, based on our experience with limited number of patients done in local, tumescent anesthesia. However, you may find few experienced plastic surgeons performing this procedure in combination of sedation and local, tumescent anesthesia claiming good results, comfort and safety. I would suggest you to have in person consultation with a board certified plastic surgeon with experience in this type of surgery before you commit yourself to any surgery of this kind. Good luck. 

Thank you for your questions. You are placing your fears in all the wrong places. The risks to you from a BBL procedure are far greater (1 in 3,000 death rate) than the risks of anesthesia (maybe 1 in 200,000 death rate). You need to make absolutely sure that you are only seeing plastic surgeons who are specifically board certified by the American Board of Plastic Surgery and not other boards. Be safe, not sorry.Best of luck!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

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. You want the most dramatic transformation possible, and you do not want to be in pain. Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA