Why don't some doctors prescribe muscle relaxers for healthy TT patients (no allergies or abuse issues)?

Thank you for your question regarding the use of muscle relaxants following a tummy tuck. Muscle relaxants can indeed be beneficial in the postoperative period after abdominoplasty, especially since the procedure often involves plication, or the suturing together, of the abdominal muscles.
However, while these drugs can help with muscle spasm and pain, they do carry risks such as respiratory depression, particularly in larger doses. This is likely one of the reasons why some surgeons may be cautious in prescribing them.
It is important to have an open discussion with your surgeon about post-operative pain management, including the potential use of muscle relaxants. Understanding the benefits and risks of all medications used post-operatively will allow you to make an informed decision about your care.
Sincerely,
Dr. Katzen

Hello,
Thank you for the question.
Specific medications prescribed after tummy tuck depend on individual plastic surgeon's preferences.
Typically, pain killer and muscle relaxant are prescribed to help alleviate the pain and muscle tightness after surgery.
I would definitely discuss your questions and concerns with a board-certified Plastic Surgeon.
I hope this helps.Best regards, Dr. Karanetz
Dr. Irena KaranetzFellowship-TrainedBoard Certified Plastic Surgeon

Dear Generous637983,
I understand your concern. It is best that you consult your plastic surgeon regarding post operative care and management (i.e including massage techniques and timing) specific to your case. Your surgeon knows your condition well and has preferences on when and what to use for faster healing and recovery. Post operative care and management depends on the type of surgery performed and the technique used during surgery among other factors.It is best, however, that you follow your plastic surgeon's advice on post operative care management for a smooth and faster healing and recovery.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thanks for your inquiry, I believe muscle relaxers are extremely helpful with dealing with the spams after muscle repair and thus reduce pain as well. In my experience they also reduce overall narcotic use which is better for bowel function. The major downside of muscle relaxers are sedation and as you mentioned addiction potential. Please discuss with your surgeon their thoughts and best of luck.

Doctors typically make decisions about prescribing medications based on a combination of factors, including the patient's medical history, current health status, the specific procedure being performed (in this case, a Tummy Tuck), and potential risks and benefits associated with the medication. While muscle relaxers might be considered for some patients undergoing a Tummy Tuck (abdominoplasty), they are not always necessary or appropriate for everyone.Here are a few reasons why some doctors might choose not to prescribe muscle relaxers for healthy Tummy Tuck patients:1.) Individual Variation: Responses to medications can vary widely from person to person. Some patients might experience significant discomfort and muscle tightness after a Tummy Tuck, while others might not experience these issues to the same extent. Therefore, not all patients may require muscle relaxers.2.) Pain Management Strategies: Doctors typically use a combination of pain management strategies for post-operative care, which can include over-the-counter pain relievers, prescription pain medications, and muscle relaxers. Our practice includes a pain pump that continuously releases numbing medication to help make the recovery as comfortable as possible. The choice of medication depends on the patient's pain level, medical history, and the surgeon's preference.3.) Potential Side Effects: Muscle relaxers can have side effects, such as drowsiness, dizziness, and interactions with other medications. Doctors need to weigh the potential benefits of using muscle relaxers against these potential side effects, especially for patients who are otherwise healthy and might not require such medication.4.) Minimizing Medication: Healthcare professionals often aim to minimize the use of unnecessary medications to reduce the risk of complications and adverse reactions. If a patient's pain and discomfort can be effectively managed with other pain relief methods, muscle relaxers might not be deemed necessary.5.) Patient Preferences: Some patients might prefer to avoid certain medications, including muscle relaxers, if they believe they can manage their post-operative discomfort through other means. Doctors typically take patient preferences into account when designing a post-operative care plan.It's important to note that medical decisions are individualized and based on a holistic assessment of the patient's needs. If you are a Tummy Tuck patient and have concerns about your post-operative pain management, it's recommended that you discuss your preferences and any potential concerns with your surgeon. They can provide personalized guidance based on your medical history, the details of the procedure, and your overall health status.

Each physician has her/his own protocol for medications prescribed after surgery. I encourage you to discuss your concerns with your surgeon to better understand the particular protocol. It is important that you feel comfortable and confident as your prepare for surgery.

Each surgeon prescribes what he/she feels is necessary for the patient's comfort, safety and best outcome. Every surgeon has his/her own opinion of what should be prescribed.

Different doctors have different protocols for each procedure.
Most patients recovering from a tummy tuck need fairly potent narcotic medication pain control.
We try to be very careful adding other sedating medication‘s to take at the same time.
There is very little to no literature supporting the use of muscle relaxants after surgery.
Personally I don’t think they are helpful in improving recovery compared to other modalities like using long lasting local anesthesia and having a solid pain management regimen for the first week after surgery.
You’ll have to ask each individual surgeon if you want their opinion.
There is no consensus report done by plastic surgeons on this topic.
Best,
Mats Hagstrom MD