I'm glad you are thinking about your recovery and pain management. Depending on your medical history and current medications and allergies, your plastic surgeon will recommend a pain management regimen. I routinely utilize intraoperative "nerve" blocks using a new FDA approved long acting numbness medicine called Exparel. I have seen some amazing results for my patients with Exparel where I am seeing many of my tummy tuck patients barely need any narcotic pain meds at all after surgery. Its best you discuss this with your plastic surgeon during your consultations. Best wishes for a speedy recovery.
The pain medication is decided by your surgeon, based on medical history, drug allergies, etc. Discuss this with him prior to surgery. Many time, a muscle relaxer is prescribed also, which seems to help more than pain meds for many patients. Best wishes!
Pain control after tummy tuck surgery generally requires a narcotic medication like hydrocodone and tylenol. There are many different concentrations available and preference for a type of medication varies by surgeon. I also use a long acting local anesthetic that provides direct pain relief for several days after surgery.
Narcotics are usually required after a tummy tuck as the pain can be significant. I like to use either Percocet or Dilaudid, both of which are usually very effective. Marcaine pain pumps can be used yet the degree of their effectiveness is variable.
Each surgeon is different. I use a pain pump that drips novocaine solution into the area automatically for 3 days to lessen the need for narcotic pain medications. I then prescribe either vicodin, or percocet depending on patients experience with one of the medications. Each surgeon has their preference. The pain pump has been very successful.