Pain Medication Injected into Abdominal Muscle During Tummy Tuck?

I've heard that there is a pain medication that is injected into the abdominal muscles during a tummy tuck and lasts 72 hours. What is it called? Is it commonly used by surgeons?

Doctor Answers 20

Ways to minimize pain after a tummy tuck

Minimizing pain after a tummy tuck is very important in my practice.  This is typically done with oral pain medicine after the procedure, but I also inject numbing medicine into the muscles during the procedure.  This medicine is called marcaine and it's great at minimizing pain immediately after the procedure and for a long period of time afterward.  This way, you can concentrate on healing and getting back to your normal routine instead of worrying about pain control.  Even more, I place drains that are painless when they are removed and all of my stitches are dissolvable.  These things contribute greatly to making the tummy tuck experience as comfortable as possible.  Thank you for your question!  Dr. Schreiber....Baltimore plastic surgeon

Baltimore Plastic Surgeon
5.0 out of 5 stars 200 reviews

Last contacted 8 minutes ago

Exparel for 72 Hour Pain Relief after Tummy Tuck

    Exparel can be injected at the time of closure for 72 hour pain relief.  This can add several hundred dollars to the cost.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
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Last contacted 11 minutes ago

Exparel and Tummy Tuck

Exparel is a long acting local anesthetic that can be used with tummy tucks.  It lasts approximately 72 hours.  It can be expensive but if this is something that you are interested in, I would talk to my surgeon and see if they are willing to use it.

Sacha Obaid, MD
Dallas Plastic Surgeon
4.8 out of 5 stars 117 reviews

Last contacted 6 hours ago

Anesthetic after tummy tuck

Pain after the tummy tuck procedure is not uncommon, especially if plication (tightening of your abdominal wall has been performed.  Various things can be done to alleviate pain after this procedure.  The local anesthetic bupivacaine may be injected directly into the sheath enveloping the muscles to provide pain relief, usually for up to a day.  Also, the medication Exparel is an extended release, long-acting form of this anesthetic that may last up to 3 days.   Some surgeons may also place pain pumps, which continuously drip this anesthetic atop your abdominal wall to give pain relief for up to 5 days.   All are very effective in controlling some of the pain post-tummy tuck procedure, however,  with a small extra cost involved, but may be worth it.  Hope that this helps!  Thank you for the question!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 26 reviews

Last contacted 1 hour ago

Exparel Great For Tummy Tuck Surgery

If you wish to avoid narcotic pain medications then I recommend the use of Celebrex and Acetominophen (does not make you drowsy) plus intraoperative use of Exparel. Exparel is a very long-acting local anesthetic that lasts approximately 3 or more days following injection and great for Tummy Tucks and other surgeries. Not only does it prevent pain but also most muscle spasms. It lasts the same length of time that a pain pump lasts and will therefore take the place of a pain pump. This means patients can enjoy the same effect of a pain pump, but without any catheters and no pain pump to carry around.
Exparel will be available for those concerned about minimizing discomfort after surgeries such as tummy tuck and breast augmentation.
Exparel costs the same as a pain pump and produces the same result but with less hassle and works great. It is not "Snake Oil".

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
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Last contacted 1 day ago

Exparel after tummy tuck

The new medication is a form of bupivicaine (marcaine) which we have used to reduce the need for pain medication after the procedure. The result can vary though this long acting local can work up to 72 hours. Definitely something to ask about.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.1 out of 5 stars 41 reviews

Last contacted 1 day ago

Pain Medication Injected into Abdominal Muscle During Tummy Tuck?

Injections with local anesthetics are frequently injected into the abdominal muscles via the anterior rectus sheath. This helps with postoperative pain whether the 24 or 72 hr solution is used.

Thomas Guillot, MD
Baton Rouge Plastic Surgeon
4.7 out of 5 stars 12 reviews

Last contacted 1 month ago

Exparel injected in surgery decreases tummy tuck pain for 3 days

I love Exparel and have been using it since it came out on the market around 6 months ago. My first patient drove herself back to the office the day after surgery to show us something about her dressing. Imagine our shock when she comfortably strolled in! Not everyone has such a complete block, but it cuts the pain by at least half. The drug is not cheap, one vial is around $400 or so, but worth it. I tell patients to remember to take it easy, you forget that you should be relaxing when you have so much less pain! It works great for Breast augmentation (submuscular) as well.

Lisa Cassileth, MD, FACS
Beverly Hills Plastic Surgeon
4.7 out of 5 stars 13 reviews

Last contacted 23 hours ago

Exparel can reduce postoperative pain for up to 72 hours

The medication that you are referring to is called Exparel. It is a delayed release form of bupivacaine, a long acting local anesthetic that is commonly used. Being quite new, it is not used by many plastic surgeons yet. Studies have found it to reduce pain levels as well as decrease the amount of pain medication used postoperatively.

Once you have selected your plastic surgeon, you can discuss this medication with him/her.

Steven Turkeltaub, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 30 reviews

Last contacted 13 days ago

Exparel The Long lasting Local Anesthetic

Thank you  for your question.

I have  been using  exparel  for the  last  year for my  breast augmentation  and  tummy  tuck procedures.  It gives pain relief for up  to 72 hours after surgery.  I have noticed patients require less narcotics for pain relief after surgery. If you are considering  a tummy tuck you may  want to discuss it with your surgeon.

Good  Luck!

Brian Joseph  MD FACS

Brian Joseph, MD
Orlando Plastic Surgeon
4.8 out of 5 stars 52 reviews

Last contacted 5 hours ago

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.