Some doctors have okayed it and others have not.. why ?
Being on methadone or should I prevent you from having cosmetic surgery.Find plastic surgeons willing to work with you then have the plastic surgeon and the doctor managing your methadone work together to come up with a plan for pain management.If your procedure is done under general anesthesia and getting through the procedure will not be all that challenging. Anesthesiologist can calculate an appropriate dose of pain medication in the recovery room.If your procedure is scheduled to be done as an awake procedure With the surgeon managing the sedatives and he or she may be challenged to get the right dose of pain medication to get you comfortable through the procedure.Personally I prefer to do these procedures with patients awake. My typical approach to patients who are on daily or regular opiate medication is to take 1.5 times their daily dose on the day of surgery. That is sufficient as a baseline with typical normal doses of sedatives including narcotics to go to patients through awake procedures using lots of local anesthesia.It’s always best to have your doctors communicate and come up with a plan together.It’s obviously also important to have a program of recovery in place with a sponsor and preferably monitoring during the early postoperative face while taking additional prescription pain medication if offered.Best, Mats Hagstrom MD
