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When a tummy tuck includes muscle plication or repair of the rectus diastasis it is more painful than a simple skin excision procedure. Dr. Polo does a "Painless Drainless Tummy Tuck". He places two small catheters through the skin and beneath the two layers of muscle sutures. The two catheters attach to an On-Q pump filled with local anesthesia which automatically drips into the site, making the patient more comfortable.
Hi creampuff123,My typical pain control protocol for tummy tuck patients prioritizes non-narcotic medications and includes:1. Preop and 7 days postop gabapentin (nerve blocking pain medication)2. Preop and 7 days postop Tylenol3. Postop 7 days Aleve4. Intra-op Exparel (a 3 day long injectable pain medication)5. Oxycodone, an oral narcotic, as needed if #1 through #4 are insufficient.With that regimen, most patients are able to minimize their narcotic usage after surgery.Hope this helps.Best,Chris Pannucci MDBoard Certified Plastic SurgeonPlastic Surgery NorthwestSpokane Washington
Dear creampuff123,with a meticulous surgical technique and good postoperative protocol, you shouldn't have any major pain. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
There is recovery involved with a tummy tuck. The surgery involves correcting muscle wall separation, and removing excess fat and skin. However patients have tools available to manage discomfort, which is worst at the beginning. Narcotic based pain medication, positioning, and a a medication called Exparel that is given during surgery are just a few tools used. I encourage you to visit with a board certified plastic surgeon near you to learn more.
Is it normal? Not really. It is possible though. The liposuction aspect of surgery tends to lead to a longer period of inflammation that can take months to resolve. This is generally pretty done by the 6 month mark though.
This question is best answered by your surgeon as opinions may vary. The concern would be the introduction of bacteria which could lead to infection. If shaving is necessary it can often be done during surgery, but your surgeon will advise you what is recommended for you.
By far the best thing you can do to make the itching go away is the absolutely not scratch your skin. Scratching the skin can cause persistent inflammation that perpetuates the cycle. Scratching the skin can also create a feedback loop with neurotransmitter release in the brain that can...