I am very concerned about the pain factor of a TT. I stumbled upon doctors who say that the newest thing out there is Exparal which they inject before closing up a patient. Lasts for 3 days. They state the downside is its expensive. I am paying $15,000 for my TT, who is it expensive for? No doctor in my area does a pain pump either. So basically we are relying on Perocets. Why won't a doctor be willing to use this. Don't they want their patients pain free as possible.
Why are doctors not willing to use Exparal Pain Relief?
Doctor Answers 20
Exparel - why can't you get it?
It is true that hospitals and ambulatory facilities are very hesitant to buy it. Recent studies have shown that it actually results in shortened hospital stays.
I have my own Joint Commission accredited office based surgical facility so i can buy whatever I choose. I will not even consider doing a TT without it. It is not an option. The cost of the drug is simply built into our facility fee.
Exparel with tummy tuck worth the cost
Better early relief; Exparel and Tummy Tuck
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Exparel for tummy tucks
You should ask your plastic surgeon why they choose not to use Exparel. It is a relatively new drug and sometimes that makes some doctors uncomfortable.
But its the patient comfort they should consider here. Exparel works wonderfully to manage post-op pain for several days. We have started offering it to all of our patients who get procedures like Tummy Tucks.
Unlike narcotics it doesn't have potential for addiction, constipation or nausea.
Our patients love it.
Why are doctors not willing to use Exparel pain relief?
Typically, Exparel is either injected into the surrounding soft tissue/underlying muscle layer or just simply released into the pocket itself. If injected between the ribs, there certainly is a theoretical, and higher, risk of puncturing of the lung. the former methods are more common. Discuss its access as well as potential use for you with your surgeon. Hope that this helps! Best wishes!
Exparel and pain pumps for tummy tucks?
What is of greater importance is the choice of your plastic surgeon who should be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS). You should discuss your concerns with that surgeon in person.
Robert Singer, MD FACS
La Jolla, California
Tummy Tuck and Exparel
You need to pick the right doctor.
I have been using first Pain Pumps then Exparel for my tummy tucks. My patients have almost no pain for the first three days after surgery. I don't know why your doctor doesn't. You need to pick someone who does use Exparel. The $300 cost of the drug is minor compared to the cost of a tummy tuck.
Pain Reduction Pumps: An Important Part of Tummy Tuck Surgery
Tummy Tuck is a major surgical procedure, especially when the lining of the abdominal muscles are tightened. The procedure can produce beautiful results, but it is important to make the procedure safe and as comfortable as possible. The use of a pain reduction pump or (On-Q Pump) is a great way to provide pain relief to patients. The pain pump is inserted during the tummy tuck procedure. I place the pump catheters under the muscle tightening area so that the muscle lining is bathed in local anesthestic. Other options include the use of long lasting local anesthetics such as Esparal.
In my practice, I have found that my patients need only one-half the amount of oral narcotic pain medication when a pain pump is used after surgery compared to patients having had tummy tuck before pain pumps were available. If you doctor does not offer a local anesthetic option, it may be time to reconsult with board certified surgeons who do!
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.