I vomit narcotics - how can I manage facelift pain?

I rarely prescribe any narcotics after a facelift. The reason being is that facelifts do not tend to have much pain associated with them. I have a good relationship with our anesthesiologist who pre-treats my patients before surgery with Tylenol and Gabapentin, the incisions and the area that we are going to work on are injected with long-acting Marcaine and postoperatively we use cool compresses immediately on the area that was operated on. Tylenol is given for the post operative period. This has proven to be an excellent way of managing people after their facelift. I hope this is helpful. Best wishes.

The good news is that facelifts are not typically among the more painful procedures that we do. For all of our surgical patients we are using what is called the ERAS protocol (Enhanced Recovery After Surgery) which minimizes the need for pain medications. This includes a medication called gabapentin, which you should tolerate well. Consider also the use of extended release local anesthesia such as Exparel.

Its possible to use a long-acting local anesthetic like Experel during your facelift procedudre. The use of tramadol post op would also be helpful for pain control. Pre-op use of Emend (a powerful anti-nausea medication used for chemotherapy patients) might also be helpful.