Exparel for Tummy Tuck and Breast lift w/ Augmentation

Good Day Doctors, I wanted to know if I were to get a Tummy Tuck and a Breast lift with Augmentation if I would need to purchase two doses of Exparel for each area? Thank you and Have a beautiful day!

Doctor Answers 12

When considering Exparel in Melbourne, FL.

Thank you for your question regarding the use of Exparel with your tummy tuck and breast lift and augmentation surgeries.  The maximum dose of Exparel as recommended by the manufacturer is contained in one vial and therefore, no one would need to purchase more than one vial nor would any physician administer more than one vial as it could put a person in a level of toxicity with regards to dosing of the medication.  When placing Exparel in more than one area, the Exparel is simply diluted appropriately so that it can cover all of the appropriate areas without increasing the actual overall dosage and therefore, minimizing the risk of toxicity.  I hope this is helpful to you.  Best of luck!

Melbourne Plastic Surgeon
5.0 out of 5 stars 40 reviews


When doing my mommy makeovers, I only use one vial to treat both the tummy and breasts so that should be sufficient.  You are making a great choice in getting the Exparel!  It has helped a lot of my patients in their early recovery.  Good luck!

Brian K. Reedy, MD
Reading Plastic Surgeon
4.9 out of 5 stars 145 reviews

Exparel for mommy makeover

Your surgeon should be able to use one vial of Exparel to treat both your abdominal and breast areas for your mommy makeover.Best wishes,Dr.Bruno

William Bruno, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 379 reviews

Exparel for Tummy Tuck and Breast lift w/ Augmentation

I have not used two doses of Exparel in a case and just diluted the one dose to cover both areas and this has been highly successful in controlling the post operative discomfort. My concern with two doses is the amount of bupivicaine that is injected. While it is time released, it still puts you at a higher risk for toxicity. I am not sure what the company's recommendation for maximum dosage is as I have only used the one vial per case. 

Brian J. Lee, MD
Fort Wayne Plastic Surgeon
5.0 out of 5 stars 13 reviews

Tummy tuck and breast lift - how much exparel.

Thank you for asking about your mommy make-over.
  • Two doses would be ideal -
  • But if you can't afford two, have one and ask your surgeon to dilute it so all areas are injected.
  • It makes a huge difference - and almost certainly makes these operations safer, because you can move without pain from the start.
Always see a Board Certified Plastic Surgeon. Best wishes  - Elizabeth Morgan MD PHD FACS

Elizabeth Morgan, MD, PhD
Atlanta Plastic Surgeon
4.6 out of 5 stars 43 reviews

Dr derby

Thank you for your question. I would recommend you 2 dosages , one for each area. also talk it over with your doctor.Best of luck

Derby Sang Caputo, MD
Dominican Republic Plastic Surgeon
5.0 out of 5 stars 85 reviews

Exparel for tummy tuck and breast lift

Thank you for your question. I have found Exparel to be very effective in pain control with my tummy tucks and breast surgery. In fact I offer it for most all of my surgeries at this point. It comes in a vial that contains 20cc or 266mg of liposomal bupivacaine. It can be diluted up to about 280cc. I routinely dilute it to distribute to both the breasts and abdomen when I am doing both together and this works nicely. I find it to be excellent pain control without the side effects of the narcotics. I would highly recommend it.Good luck!

Jennifer Boll, MD
Tempe Plastic Surgeon
5.0 out of 5 stars 12 reviews

Exparel for Tummy Tuck and Breast lift w/ Augmentation

Thank you for your excellent question. If you are interested in Exparel for both areas I would recommend two doses, one for your two breasts and one for your tummy tuck.  This should supply you with improved comfort in the first 72 hours after surgery.  Hope this helps.

Nelson Castillo, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 68 reviews


Exparel  has reduced the post operative pain level dramatically, allowed for earlier ambulation, less narcotic use and a quicker recovery.  This offers a major benefit for tummy tuck patients as the recovery is much easier.  As for the breast augmentation, injecting the pocket with marcaine at the end of the case helps reduce pain and discomfort as well.

Robert E. Zaworski, MD
Atlanta Plastic Surgeon
4.8 out of 5 stars 62 reviews


Exparel is a new drug to tummy tucks and it is very effective. It does not have the same efficacy in the bresat though I will try to use it occasionally. I recommend only a single vial which can ebe diluted and used to multiple ares to prevent Bupivicaine overdose.

Erica Anderson, MD
Reston Plastic Surgeon
5.0 out of 5 stars 4 reviews

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.