Exparel Intra Operative Pain Injection
At this point we're going to inject a long acting local anesthetic. It's called EXPAREL. EXPAREL is a very unique type of medication. This has been developed basically by micro technology and what this is are small little molecules of a long acting anesthetic poke, bupivacaine, that are wrapped with multiple layers of lipid and as the lipid dissolves the bupivacaine, which is the long acting anesthetic, is then locally expressed and released into the tissue. And what we're going to do is inject that into the muscle because in a tummy tuck, the major pain that's associated with a tummy tuck is when we're sewing the separated muscles together. So this is going to help markedly reduce the pain. The unique thing about this is that this is released over about a three day period of time and that's the time when you have the most pain, but immediately after your tummy tuck.
And I think it's interesting because before this, what I would do is have what we would call a pain pump. A pain pump were little tubes that were inserted underneath the tissue and into the muscle and the little tubes were then attached to a little pump that would then gradually pump this same bupivacaine into the tissue, but with this new technology, the injection, you don't need any drains. We don't need any tubes and we don't need any bull with a fanny pack and all that sort of thing that would have problems that could get pulled out. There were certainly uncomfortable and they had some other problems as well.