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.
Answer: Exparel - why can't you get it? I was one of the first surgeons on Long Island to use a pain pump for a TT over ten years ago and I swore by them. 1 1/2 years ago i tried Exparel for the first time and there is no comparison. I got rid of all the leftover pain pumps. The drug costs about $300 per patient but when you consider all the benefits of little to no narcotic use after surgery, it is well justified. 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.
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Answer: Exparel - why can't you get it? I was one of the first surgeons on Long Island to use a pain pump for a TT over ten years ago and I swore by them. 1 1/2 years ago i tried Exparel for the first time and there is no comparison. I got rid of all the leftover pain pumps. The drug costs about $300 per patient but when you consider all the benefits of little to no narcotic use after surgery, it is well justified. 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.
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Answer: Exparel for tummy tucks Thanks for your question - 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.
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Answer: Exparel for tummy tucks Thanks for your question - 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.
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March 5, 2017
Answer: Why are doctors not willing to use Exparel pain relief? Hello! Thank you for your question! Exparel is an excellent form of delivery of a local anesthetic, Marcaine. It is delivered within a liposomes form, which is slowly released over a 72 hour period. The injectable form lasts approximately 6 hours. It has significantly reduced postoperative pain as well as the need for postoperative narcotics following surgical procedures. Sometimes a small additional fee is required for it's use, but it's benefits have been great. The pain pumps are excellent as well as they continuously drip the anesthetic within the pocket. 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!
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March 5, 2017
Answer: Why are doctors not willing to use Exparel pain relief? Hello! Thank you for your question! Exparel is an excellent form of delivery of a local anesthetic, Marcaine. It is delivered within a liposomes form, which is slowly released over a 72 hour period. The injectable form lasts approximately 6 hours. It has significantly reduced postoperative pain as well as the need for postoperative narcotics following surgical procedures. Sometimes a small additional fee is required for it's use, but it's benefits have been great. The pain pumps are excellent as well as they continuously drip the anesthetic within the pocket. 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!
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January 8, 2018
Answer: Exparel with tummy tuck worth the cost I have used Exparel routinely with tummy tucks since it first became available and it has made a big difference. Since you are paying out of pocket for a tummy tuck there is no reason that I can see why it could not be made available.
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January 8, 2018
Answer: Exparel with tummy tuck worth the cost I have used Exparel routinely with tummy tucks since it first became available and it has made a big difference. Since you are paying out of pocket for a tummy tuck there is no reason that I can see why it could not be made available.
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December 23, 2013
Answer: Exparel and pain pumps for tummy tucks? There are advantages and disadvantages of Exparel as well as a pain pump. Either will generally decrease the discomfort from a tummy tuck, if the muscle is tightened during the procedure. There are many plastic surgeons across the country who use these modalities and find them beneficial for improving the patient's experience with the tummy tucks?procedure. Some will charge an additional fee for their usage and others will not.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 FACSLa Jolla, California
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December 23, 2013
Answer: Exparel and pain pumps for tummy tucks? There are advantages and disadvantages of Exparel as well as a pain pump. Either will generally decrease the discomfort from a tummy tuck, if the muscle is tightened during the procedure. There are many plastic surgeons across the country who use these modalities and find them beneficial for improving the patient's experience with the tummy tucks?procedure. Some will charge an additional fee for their usage and others will not.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 FACSLa Jolla, California
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January 21, 2019
Answer: Tummy Tuck and Exparel I switched from pain pumps to Exparel for tummy tucks as have many other surgeons. Maybe if there is enough demand the surgeons in your area will start using it. Look for a Board Certified Plastic Surgeon that has his/her own surgery center as some hospitals might not supply it. Keep looking you may find one. Good luck!
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January 21, 2019
Answer: Tummy Tuck and Exparel I switched from pain pumps to Exparel for tummy tucks as have many other surgeons. Maybe if there is enough demand the surgeons in your area will start using it. Look for a Board Certified Plastic Surgeon that has his/her own surgery center as some hospitals might not supply it. Keep looking you may find one. Good luck!
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