Is it possible to perform a BBL using a local anaesthetic?

Yes, however, there are some significant downsides:

• The patient will likely experience significant pain, regardless of the amount of local anaesthetic used.
• The surgeon may not be able to access the areas they would like to, due to patient discomfort.
• Lidocaine (local anaesthetic) is toxic to fat cells and stem cells and will reduce the amount of fat that survives, meaning multiple sessions of fat transfer may be required if performed under local anaesthetic.