Breast Augmentation with Exparel Pain Injection
Hi. Over the past several years, we have been using Exparel. That is a long-lasting injectable anesthetic. We've been using this especially for tummy tucks with very excellent results. However, now the trend is to use Exparel for breast augmentation. Now, most breast augmentation is done by placing the breast implant underneath the chest wall muscle. And as you can see from this diagram by Google, PlasticSurgeryKey.com, the implant is placed under the pectoralis or the chest wall muscle. This is the implant and this is the muscle, right? So the pain of breast augmentation is due to stretching of the muscle over the implant. And of course the bigger the implant, the more pain you have. So now what we do is to inject Exparel into this muscle.
Now, Exparel is made up of multiple spheres of bupivacaine. That is the long-acting anesthetic. And this is then wrapped with multiple layers and spheres of fat. And as the fat dissolves, the bupivacaine is released. Now, the only problem about this is that this is an extended, long-acting anesthetic. So to give immediate relief, what we're now doing, and this is a new trend, is to add bupivacaine to the Exparel. So now do we not only have long-lasting pain relief, we also have immediate pain relief. So from the time that you wake up for a good number, three or four days, your pain is markedly diminished. So in summary, these injectables are really revolutionizing breast augmentation.