Specifically, I want to know how well Neurontin plus Valium works for pain control with this procedure. I realize all patients are different but I would like to hear from doctors who have utilized a nonopioid pain regimen post op. Thanks.
Answer: How does non-opioid pain management for a tummy tuck with muscle repair works. There are many pain medications that may be appropriate. Each PS will prescribe the medication that he/she is most comfortable with and that seems best for each patient. I typically use whatever medication a patient has used in the past that has had success. If the patient has never had surgery or never used pain medication, I use oral narcotic meds of varying strengths. I think that many patients require prescription pain medications for the first week or so with the transition to the use of Tylenol for the next week. The pain can be managed effectively, and this aspect should not deter you from surgery. Exparel can be injected at the time of closure for 72 hour pain relief. Every surgeon wants his/her patients to have a satisfactory and safe experience. The PS needs to know what your concerns are so that he/she and the anesthesiologist can address your comfort and lessen your anxiety before surgery. Select your PS based upon results generated, before and after photos, and patient reviews, not exclusively on the use of Exparel (which my patients think is too expensive) or a pain pump (patients do not want to carry it around for days).
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Answer: How does non-opioid pain management for a tummy tuck with muscle repair works. There are many pain medications that may be appropriate. Each PS will prescribe the medication that he/she is most comfortable with and that seems best for each patient. I typically use whatever medication a patient has used in the past that has had success. If the patient has never had surgery or never used pain medication, I use oral narcotic meds of varying strengths. I think that many patients require prescription pain medications for the first week or so with the transition to the use of Tylenol for the next week. The pain can be managed effectively, and this aspect should not deter you from surgery. Exparel can be injected at the time of closure for 72 hour pain relief. Every surgeon wants his/her patients to have a satisfactory and safe experience. The PS needs to know what your concerns are so that he/she and the anesthesiologist can address your comfort and lessen your anxiety before surgery. Select your PS based upon results generated, before and after photos, and patient reviews, not exclusively on the use of Exparel (which my patients think is too expensive) or a pain pump (patients do not want to carry it around for days).
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September 26, 2019
Answer: How does non-opioid pain management for a tummy tuck with muscle repair works. Hello and thank you for your question. In our practice, we use a long acting local anesthetic agent (Exparel), which is injected into the muscle planes and skin during your procedure. This will decrease the need for narcotic pain management considerably. Talk to your plastic surgeon about his/her pain management regimen. Best, Pejman Aflaki, M.D. Johns Hopkins-trained double board-certified plastic surgeon
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September 26, 2019
Answer: How does non-opioid pain management for a tummy tuck with muscle repair works. Hello and thank you for your question. In our practice, we use a long acting local anesthetic agent (Exparel), which is injected into the muscle planes and skin during your procedure. This will decrease the need for narcotic pain management considerably. Talk to your plastic surgeon about his/her pain management regimen. Best, Pejman Aflaki, M.D. Johns Hopkins-trained double board-certified plastic surgeon
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September 26, 2019
Answer: Pain management Dear esr718, Every plastic surgeon has his own postoperative protocol and pain management protocol which he recommends to his patients. I use long-lasting local anesthetic during tummy tuck surgery so my patients don't have much pain in first few days which are usually the worst. Later they can continue with non-ovoid pain killers. I would suggest you to discuss this with your plastic surgeon. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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September 26, 2019
Answer: Pain management Dear esr718, Every plastic surgeon has his own postoperative protocol and pain management protocol which he recommends to his patients. I use long-lasting local anesthetic during tummy tuck surgery so my patients don't have much pain in first few days which are usually the worst. Later they can continue with non-ovoid pain killers. I would suggest you to discuss this with your plastic surgeon. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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September 26, 2019
Answer: Tummy Tuck Pain Management With the right combination of long acting nerve blocks (Exparel), muscle relaxers, and non-opioid pain medication (Celebrex, Neurontin, etc.), most patients can avoid using opioid pain medication if need be. Early movement is critical, and if you are a candidate for a progressive tension suture/drainless procedure then that helps even more. The best thing to do is to have a few consultations with board certified plastic surgeons and see what will work best for you. Please see below link for examples.
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September 26, 2019
Answer: Tummy Tuck Pain Management With the right combination of long acting nerve blocks (Exparel), muscle relaxers, and non-opioid pain medication (Celebrex, Neurontin, etc.), most patients can avoid using opioid pain medication if need be. Early movement is critical, and if you are a candidate for a progressive tension suture/drainless procedure then that helps even more. The best thing to do is to have a few consultations with board certified plastic surgeons and see what will work best for you. Please see below link for examples.
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September 25, 2019
Answer: How does non-opioid pain management for a tummy tuck with muscle repair works. Thank you for the question. Good pain control after tummy tuck is very important for many reasons. Besides the important concern of patient comfort, good pain control allows for better/easier deep breathing exercises and ambulation. These measures may lead to decreased incidences of pulmonary complications and/or thromboembolic phenomenon. These days plastic surgeons have many options when it comes to pain control after tummy tuck surgery. The use of narcotic medication, muscle relaxants, non-narcotics, pain control pumps, and long-lasting local anesthetics have made the postoperative experience much better than in the past. The specific medications used will vary from one practice to another. In our practice, all patients undergoing, tummy tuck surgery receive a postoperative pain control pump. In my opinion, there is no demonstrable difference between the use of local anesthesia provided through a pain pump versus long lasting injectable anesthetics. Best to communicate your concerns/questions directly with your selected plastic surgeon; he/she will be in the best position to provide you with more meaningful (and specific) thoughts and recommendations.Best wishes.
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September 25, 2019
Answer: How does non-opioid pain management for a tummy tuck with muscle repair works. Thank you for the question. Good pain control after tummy tuck is very important for many reasons. Besides the important concern of patient comfort, good pain control allows for better/easier deep breathing exercises and ambulation. These measures may lead to decreased incidences of pulmonary complications and/or thromboembolic phenomenon. These days plastic surgeons have many options when it comes to pain control after tummy tuck surgery. The use of narcotic medication, muscle relaxants, non-narcotics, pain control pumps, and long-lasting local anesthetics have made the postoperative experience much better than in the past. The specific medications used will vary from one practice to another. In our practice, all patients undergoing, tummy tuck surgery receive a postoperative pain control pump. In my opinion, there is no demonstrable difference between the use of local anesthesia provided through a pain pump versus long lasting injectable anesthetics. Best to communicate your concerns/questions directly with your selected plastic surgeon; he/she will be in the best position to provide you with more meaningful (and specific) thoughts and recommendations.Best wishes.
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