Hello, Asumming gentle surgical techniques here are several intraoperative procedures to reduce postoperative pain.
LOCAL INJECTION OF MEDICATION:
1) Bupivcacaine
2) Exparel is along acting injectable Bupivacaine .
Price difference is significant.
Both can be injected locally.
NON NARCOTIC PAIN PUMP
A pain pump us a mechanical device where there is a external “pump” through which thin catheters are inserted into the surgical site. For the next several days the local anesthestic agent (usually Bupivacaine) is release at constant flow. The thin catheters need to be removed in 3-4 days .
CONTRASTING THE TWO:
Exparel
1)one time local injection
2) works only where injected
3)longer 1/2 life of Bupivacaine (effects last longer)
NON NARCOTIC PAIN PUMP
1) a external delivery system through small catheters
2) can diffuse throughout the surgical site: in breast augmentation or abdominoplasty the anesthestic (Marcaine) fluid can disperse throughout the entire surgical pocket and theoretically cover more area in contrast to direct injection of the Exaparel or Bupivacaine in certain ares thus is only effective where locally injected.
3) Some pumps have a “on demand” function where additional local anesthetic volume can be intermittently delivered (with a corresponding lock out period so as not overdose).
I personally perfer the pain pump for long term pain relief (3-4 days) and perform local injection of local anesthestic on almost every surgical case. I provide a pain pump to all my abdominaloplasty patients. The pain pump is optional for all other procedures.
I trust you have chosen a experienced Plastic Surgeon who is Certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).
Your timing of breast augmentation is a personal decision, but there are also pros and cons, please read below for more information:
PRE PREGNANCY
Pro – Enjoyment of breast enhancement (photos, appearance in and out of photos, etc…)
Con – Pregnancy often changes shape and volume of the breasts which may require a second procedure.
POST PREGNANCY
Pro – your breast changes can be compensated in hopefully a single procedure
Cons – during this prior time period you will forego the benefits of improved breast appearance
I recommend that you make several consultative appointments with Plastic Surgeons who are experienced and Certified by the American Board of Plastic Surgery. In addition ideally they are members of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).
