Are you worried about pain after plastic surgery?

I see a lot of patients in my practise for a variety of different types of plastic surgery. I think it is really important to take plenty of time to explain surgery options and expectations to my patients. One of the topics that comes up commonly is the recovery period. Typically, this includes “how long will I be off work or exercise?”, “what will the dressing care be like?”, “what is the follow-up plan?” and “what pain should I expect?”. Of course the answer to these questions depends on the type of plastic surgery that a patient is having. One thing I make sure to explain is how I will keep my patient comfortable after surgery.

So how do I manage pain after surgery? Well, it actually starts before surgery.

The first thing we do is discuss any concerns that you may have had in the past with any pain medications. For some people, there are drugs that don’t work as well. For others, certain drugs may cause side effects they don’t like. By discussing this, I am able to tailor the drug treatment better for my patients. I give my patients a prescription ahead of time, so they will have it and can relax after surgery rather than scrambling to get it. Everything has very clear directions to make it easy.

Before surgery

The next thing I do to make sure that you are comfortable after surgery is to give you several medications before surgery. There are several different types of pain receptors in the body. Different classes of drugs work on different pain receptors. By using several different types of medications before surgery, we can keep you more comfortable during and after. I had the help of an anesthesiologist with a subspecialty interest in pain management when designing the ideal regimen.

During Surgery

The post-operative pain reduction strategies continue during the surgery. This includes the different medications that the anesthesiologist gives to provide long-term pain relief. The other thing that I do when possible, is to block the pain right at the source. I use a long acting pain reliever to do so. This is injected right at the site to provide local anaesthesia so you don’t get the same pain stimulus in the first place. This helps to minimize other drugs that you need during surgery (making your wake-up even easier) and keeps you more comfortable after.

After Surgery

Finally, the drugs that you get after surgery are tailored to your needs. I again employ the strategy of using multiple different medications so that you can get as much pain relief as possible without the side effects. The biggest benefit is limiting the amount of opioids that people require. This includes percocet, codeine, oxycodone, tramadol, diludid, demerol, etc. These are great drugs for keeping you comfortable but can cause sedation and constipation. By using other medications, it allows my patients to be kept comfortable while minimizing these problems.

The final added-touch to keep you comfortable?

At your follow-up

On occasion, a patient needs drains after surgery. Although I don’t use them often, when I do, I want the removal to be as comfortable as possible. I see a lot of patients that have a lot of apprehension about drains. I think they read information on-line that worries them. Quite frankly, I just don’t get it! A small drop of freezing goes a long way. Most of my patients say, “that’s it?!?” when they realize I have pulled the drain out and they felt almost nothing.

What is my philosophy on pain and surgery?

I want my patients to love their plastic surgery results. However, I want them to enjoy their experience at the same time. It’s a great transformation and an exciting time for people. By planning the different steps that I described, I think we have come a long way to making that a reality. I address the individual needs of each patient and I make every effort to keep my patients as comfortable as possible.

If you are interested in a private consultation to discuss plastic surgery options, please contact Dr. Rodger Shortt to arrange an appointment at 905-849-4282 or

Dr Rodger Shortt is a plastic surgeon servicing Toronto, Oakville, Mississauga, Burlington, Milton, Hamilton and Georgetown. He strives to provide his patients the best care and excellent plastic surgery results. He is one of only a few plastic surgeons in Canada with a top rating on RateMD, RealSelf and Ontario Doctor Review. Dr Rodger Shortt is a specialist plastic surgeon trained in cosmetic surgery and reconstructive surgery. He specializes in breast surgery, breast augmentation, breast fat transfer, mommy makeover, tummy tuck, body contouring, breast reconstruction and cosmetic surgery of the face. He is the Director of Cosmetic Surgery Training at McMaster University and an Assistant Clinical Professor. If you are interested in a consultation with Dr Shortt please contact as at 905-849-4282 or visit


Dr Shortt is talented, trustworthy, and kind – he deserves more than 5 stars!

Dr Shortt was has been incredible! I went to him in search of options for correctly my breast asymmetry. I read a lot of reviews for plastic surgeons in and around Toronto and I chose Dr Shortt because his reviews were overwhelmingly positive. Initially, I was interested in fat grafting because I feared an implant would be obvious. At my consultation, Dr Shortt explained the advantages and disadvantages of both options. His opinion was that an implant would actually be the better choice because breast augmentation with an implant is much more predictable and due to the difference in my breasts, I would probably need multiple sessions of fat grafting, which would get quite expensive. After the consultation, I understood why an implant would be the better choice for me and my body. He wrote a letter on my behalf advocating that my surgery be covered by OHIP, the Ontario Health Insurance Plan, and they agreed to cover it! I really appreciated that Dr Shortt was honest about what he thought would make me the most happy (an implant in one side), not what would make him the most money (multiple sessions of fat grafting). Throughout the whole process, he was patient, understanding, and confident. His sense of humour put me at ease on surgery day and I couldn’t be happier with the results of my surgery. I didn’t want bigger breasts, just more symmetrical ones and he managed to balance me out beautifully without even touching my bigger left breast. My surgery was three weeks ago and except for the scar (which is healing beautifully) you can’t even tell I had surgery. My new breast looks and feels great and I can’t stop buying pretty new bras now that any bra will work for me. I can’t wait for bikini season! Dr Shortt is talented, trustworthy, and kind. As soon as you meet him, you’ll see that he truly cares about your happiness. Thank you, Dr Shortt!

Amazing experience

Dr. Shortt was very easy to talk to, he made me feel comfortable about having the breast reconstruction. I had a breast removed on May 25,2015 due to cancer. One of the cancer doctors in the Hamilton Cancer Center recommended Dr. Shortt. This was a great turning point in my life. I could not begin to tell you how great this experience was. He is so down to earth, kept me calm in talking about the surgery. If I had to tell another person dealing with breast cancer and having to have it removed, to see Dr. Shortt. This was a very traumatic experience to go through but this doctor made it easier to deal with the operation.

I highly recommend Dr Shortt if you are considering any surgery.

From his front office staff (Joanne) to his OR staff and Dr. Shortt himself, all made my experience a good one. I highly recommend Dr Shortt if you are considering any surgery.

I am very grateful to Dr. Shortt for his skills which have made me feel and look whole again.

I was diagnosed with breast cancer in 2015, facing the necessity for a mastectomy and frightened of the unknown that lay ahead of me. I quickly researched the various breast reconstruction options including flap reconstruction and which plastic surgeons were skilled in this microsurgery procedure. I was EXTREMELY fortunately to learn about Dr. Shortt.
My reconstruction was a multi-step process over 2.5 years and during each consultation, surgery and post-op appointment, Dr. Shortt and his staff (Kristen, Joanne) were professional, compassionate and attentive to my questions.
I am very grateful to Dr. Shortt for his skills which have made me feel and look whole again. Thank you Dr. Shortt!

I recently had a face lift with Dr. Shortt and i am extremely happy with the results.

I recently had a face lift with Dr. Shortt and i am extremely happy with the results.
When I first met Dr. Shortt I was very impressed that he was such a caring and conscientious medical professional. From the moment you step in his office you feel at ease. He asked what my goals were, took time to explain various options open to me as well as the procedure itself.
Most important was the time he took to answer all my questions and concerns. I was so impressed, I booked my surgery before leaving that day and I am so glad I did.
From the first initial consult to the post-operative appointments, he has been there with me all the way with his compassion and caring manner.
I highly recommend Dr. Shortt. Thank you so much Dr. Shortt!

I am soo happy to have found Dr shortt..I feel so lucky

I am soo happy to have found Dr shortt..I feel soo lucky to have followed my gutt feeling and chose Dr shortt as my surgeon..I was between Dr shortt and another Hollywood Dr in the states..after having a skyp call with both of them..I felt instant comfort with Dr shortt.. he explained everything about the procedure ( the tummy thigh and breast lift) and really took time answering all my questions and concerns…I got very nervous as the day got closer.. but as soon as I saw him in person( I forgot to mention that I flew all the way from Dubai to Toronto for this and boy am I glad) as soon as I saw him in person I felt that sense of comfort I had during my skyp calls ..
Do now let me tell you about my recovery..I had the surgery and got discharged same day.. my breast lift was a piece of cake. I did feel nothing but a sense of discomfort to say the most.. however it was okaaay, controlable with meds..I walked immediately as per Dr shortt recommendation.. but I stayed home for the first 5 days because my meds were making me drowsy .. for the next 5 days .. off meds by now(i chose to do so because I got bored and s wanted to get out) it was torture I couldn’t walk more than an hour in the mall or so and it was very painful getting out of bed.. after 10 days it got soo much better .. at 15 days I was perfectly fine.

Nowabout my results..I am one month in and soo thrilled of the outcomes..I was soo ecstatic .. of my new set of knockers I was showing them to all my girlfriends.. they could not believe that I didn’t have implants in .. they were asking me to touch them to make sure and asked me are you sure Dr didn’t insert any kind of support ????????.. because there too perky with beautiful shape..Dr shortt not only does a lift.. apparently during the procedure.. somehow he shapes the fat as well to create fullness in the right more lifted breasts.. and i have to say i have heavy breasts i am 32DD so that was a phenomenal thing to achieve.. the scars are amazing almost invisible now.
About my tummy tuck..I have to say i am a fit person I exercise alot and I have strong abs and mainly wanted the tummy tuck for the muscle repairs.. mine were strong but a bit separated and you can only do soo much with working out.. my stomach is so flat now.. it’s unbelievable. And it supposed to get even better with time and exercise ..I can’t wait to have a six pack????????
I would like to thank Dr shortt and Joanne.. his amazing secretary assistant.. she was soo nice and warm..I am soo greatful for them both.. and i will defenitly consider coming back for any cosmetic procedures in the future .. it was defenitly worth the 17 hours journey from Dubai.!!

I am very grateful for the new me!!

This experience took awhile to absorb for a few reasons. Clearly a breast cancer diagnosis is a scary reality but I am happy to say with the beautiful reconstruction surgery I went through under the care of Dr. Shortt I am now starting to feel like a beautiful person on the inside and out! I very grateful for the new me!! Sincerely
M. Dohan

Feel and look better than ever before.