Dr. Pane Answers the question of the week. This weeks question is, Do I have enough fat for a BBL? And Can I Get a Brazilian Butt Lift Under Local Anesthesia only? More details ... I would like to have a BBL done under local anesthetic only. I don't desire to have a large butt, I would be happy with just rounding it out and filling in the dimples and having a shape that isn't so boxy.