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FacePlus Plastic Surgery Institute — Dr. Thanapoom “Mo” Boonipat
12505 Quaker Ave, Ste A, Lubbock, TX 79424 • Serving West Texas, Eastern New Mexico, Amarillo, Midland–Odessa, Abilene, and beyond

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• SEO Title: Awake BBL & Awake Liposuction in Lubbock, TX | FacePlus Plastic Surgery Institute

• Meta Description: Explore awake Brazilian Butt Lift (BBL) and awake liposuction at FacePlus Plastic Surgery Institute in Lubbock, TX. Expert technique, safety-first protocols, faster recovery, and natural, sculpted results. Book a private consultation today.

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Why Patients Choose FacePlus for “Awake” Body Contouring

At FacePlus Plastic Surgery Institute, we offer awake Brazilian Butt Lift (BBL) and awake liposuction using local (tumescent) anesthesia with optional light sedation. Many patients prefer the awake approach to reduce general anesthesia risks, shorten recovery time, and enjoy a more streamlined overall experience—without compromising safety or precision.

Our practice follows stringent safety workflows and monitoring standards consistent with Texas Medical Board (TMB) Rule 173 protocols. Every plan is customized to your anatomy, goals, and medical history, with a clear explanation of what an awake procedure can—and should not—attempt.

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What Is an “Awake” BBL?

An Awake BBL pairs targeted liposuction (abdomen, flanks, lower back, thighs, etc.) with fat transfer to the buttocks while you remain comfortable under local anesthesia. You’ll feel pressure and movement, but pain is controlled. For properly selected patients and volume goals, the awake technique can offer:

• No general anesthesia

• Streamlined recovery and early ambulation

• Refined sculpting of waist–hip ratio

• Natural fat graft augmentation for shape and projection

Important: Very large-volume transfers may still be better under deeper anesthesia in an accredited setting. We will advise you transparently based on your safety and desired outcome.

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What Is Awake Liposuction?

Awake liposuction removes stubborn fat using micro-cannulas after the area is numbed with tumescent solution. Areas commonly treated include the abdomen, waist, bra roll, arms, inner/outer thighs, and under-chin region. Benefits can include:

• Enhanced comfort under local anesthesia

• High-definition contouring for natural lines and transitions

• Rapid return to light activity (while following post-op guidelines)

• Potential to combine with small-to-moderate fat transfer procedures

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Who’s a Good Candidate?

You may be a candidate if you:

• Are at a healthy, stable weight with localized fat you’d like contoured

• Want modest to moderate BBL volume and shape refinement

• Prefer to avoid general anesthesia when safely possible

• Understand the risks, limits, and aftercare required for best results

You may not be a candidate if you:

• Need large-volume fat transfer beyond safe awake limits

• Have medical conditions or expectations that make local anesthesia unsafe or impractical

• Prefer to be fully asleep for personal reasons—this is a valid choice and we’ll discuss options

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Our Safety-First Approach at FacePlus

Safety is non-negotiable. Our team emphasizes:

• Strict TMB Rule 173–aligned protocols for outpatient sedation and emergencies

• Continuous monitoring (vital signs, fluid balance, local anesthetic dosing)

• Anatomic, technique-driven fat grafting (safe planes, controlled volumes, cannula awareness)

• Conservative, natural aesthetic goals tailored to your body

• Clear criteria for when deeper anesthesia or a hospital/ASC setting is safer

 

 

How the Procedure Works

1. Consultation & 3D/Photo Analysis
   We map priorities (waistline, hip dips, upper/outer buttock contour) and define an awake-appropriate plan.

2. Marking & Local Anesthesia
   Tumescent infiltration numbs treatment zones. Optional light anxiolysis may be used.

3. Targeted Liposuction
   Micro-cannulas shape the abdomen, flanks, back, thighs, or arms for smoother transitions and a narrower waist.

4. Refined Fat Transfer (BBL)
   Purified fat is placed in safe, superficial planes using gentle, small-pass technique to enhance shape and projection within awake limits.

5. Immediate Recovery
   You’ll ambulate early, receive compression instructions, positioning guidance, and a detailed aftercare checklist.

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Recovery & Aftercare

• Compression: Typically 4–6 weeks (area dependent)

• Positioning: Off-loading pressure from grafted areas per instructions

• Activity: Light walking day 1; progressive return as advised

• Swelling/Bruising: Normal; mostly improves in 2–3 weeks

• Results Timeline: Early contour visible in 2–4 weeks; fat graft settling over months

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Results You Can Expect

• Smoother silhouette with improved waist–hip balance

• Natural buttock enhancement consistent with your frame

• Subtle to moderate volume gains (awake-appropriate)

• A focus on proportion, symmetry, and longevity

Note: Grafted fat partially resorbs; we plan volumes accordingly. Additional sessions may be recommended for incremental refinement.

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Risks & Considerations (Honest & Transparent)

All liposuction and fat transfer carry risks such as contour irregularity, asymmetry, seroma, infection, fat necrosis, under/over-correction, and anesthetic side effects. BBLs—awake or asleep—require meticulous plane selection to reduce fat embolism risk. Awake surgery does not eliminate inherent BBL risks; it modifies the anesthesia and comfort strategy. We’ll walk you through candid, individualized risk–benefit discussions.

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Awake vs. Asleep: Which Is Right for Me?

• Choose Awake if your goals fit modest to moderate volumes, you want to avoid general anesthesia, and your exam supports safe local anesthesia.

• Choose Asleep (in an accredited OR) if you need larger volumes, combined extensive procedures, or simply prefer a fully asleep experience. We provide both pathways and will recommend what’s safest and most predictable for your goals.

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Frequently Asked Questions

Is an awake BBL painful?
Most patients report pressure and vibration with brief pinches. We use comprehensive local anesthesia and optional light anxiolysis.

How much fat can be transferred while awake?
Enough for meaningful, natural enhancement for many patients. Very large augmentations are typically better under deeper anesthesia for comfort and control.

How long do results last?
Surviving grafted fat is living tissue and changes with your body. Maintain stable weight and follow aftercare for the best long-term result.

Can I combine areas?
Yes—abdomen, flanks, back, and thighs are commonly contoured. We’ll balance efficiency with safety and awake limits.

What about scars?
Entry points are tiny and typically fade well with proper care.

When can I go back to work?
Office work in ~3–7 days for many patients; more physical jobs require longer. We’ll tailor advice to your case.

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Why FacePlus?

• Personalized artistry from a surgeon who prioritizes proportion and symmetry

• Transparent counseling on awake vs. asleep pathways—no one-size-fits-all promises

• Protocol-driven safety culture with TMB Rule 173–aligned workflows

• Thoughtful post-op support, including adjuncts (e.g., compression, lymphatic guidance; optional hyperbaric oxygen therapy when appropriate)