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!
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!
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
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.
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
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
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!
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.
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.
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.