PATIENT RESOURCES / DR’s Blog

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 info@drshortt.com.

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 www.drshortt.com.

Reviews

Dr. Shortt preformed a gynecomastia gland removal on me

Dr. Shortt preformed a gynecomastia gland removal on me, I am 20 years old and have been dealing with gynecomastia my whole life, it has caused me alot of pain and discomfort. I am very athletic and fitness is my passion, having these glands affected how I looked cosmetically as well. I was recommended by my doctor to have Dr. Shortt as my surgeon, and I am so happy I was recommended to him. Throughout the process getting ready for my surgery he was extremely knowledgeable and professional providing all the information I needed to know. His staff were very helpful as well and I sent several emails asking questions and always got a reply right away. The surgery itself went really well and I was surprised that there was very little pain following the surgery, I didn’t really need any painkillers. He removed both glands which happened to be quite large from my chest. I saw Dr Shortt for follow up appointments for the first 3 weeks after, we were both extremely happy with how I was healing and the results. In fact, I am blown away by how much better I look, there is no scar at all and no soreness and discomfort like I had before I got the surgery done. I’m impressed, and I haven’t even healed fully yet since I am only 3 weeks out, I am looking forward to the final results because it’s only going to get better from here. This was a life changing surgery for me, I am so pleased I was able to get the opportunity to have such a great surgeon perform it. If you are a male that is looking for a good surgeon to perform this type of surgery, I am confident that you will be beyond happy with what Dr. Shortt can do, I know I was. Thank you.

I highly recommend dr. Shortt, he is very honest.

I highly recommend dr. Shortt, he is very honest. I had a consultation for my son to do his nose he explained everything to us thoroughly and spend enough time with us and answered all our questions.

I had sought a breast reduction to ease the back and neck pain

I had sought a breast reduction to ease the back and neck pain I had endured for years. I had met a few other plastic surgeons over a year period. I had never been comfortable or confident enough to make the decision to have surgery…not until I met with Dr Shortt. I had been afraid of surgery and never felt convinced it was worth it. After my consultation with Dr Shortt , I was excited about how he could help. He made me feel very comfortable. During the initial examination we also spoke about the large deposits of skin and fat under my arms – a constant source of embarrassment and discomfort. I had not worn anything sleeveless in years as they spilled out. He spoke to me about “auxiliary breast tissue removal”. I was thrilled there was something that could be done and both surgeries could be performed together When explaining what the procedure would entail and the recovery time, he spoke with me not at me. He acknowledged my fears and concerns. All my questions had been answered and I knew that surgery was the right decision and he was the right surgeon for me! ( I was so excited about the prospect now that I shared with my daughter now amazing he was – she had also meet other plastic surgeons for implants for herself – she met him and was also so impressed – she had her surgery performed by him as well!) The surgery went well. At all the follow up appointments, he was always timely. You would think being exposed and examined would be uncomfortable, but is wasn’t. He is such a professional and put you at such ease with him that I never had the chance to feel uncomfortable He would exam the areas and scars and instruct how to best take care of them. He shared in my joy and excitement for the difference this had made! I feel better and look better I also want to mention what an amazing team he has as well. Everyone I came into contact with at his office were amazing! I can’t come up with one thing that I feel he could have improved on. Without any hesitation I would, and do, recommend him!

I selected Dr Shortt based on his credentials and experience

At 51 years of age and many, many years of pain, I sought out a Surgeon who would perform for me an OHIP covered Breast Reduction and after a great deal of research, I selected Dr Shortt based on his credentials and experience. Reviewing his past surgery accomplishments, I soon wanted the “Mommy Makeover”. At my first appointment, I was pleasantly surprised by the Dr Shortt’s demeanor. He was found to be very approachable and empathetic. He took the time to explain everything that I needed to know and also answered all of my questions without making it seem a burden. He went through step by step what I would go through during and after my surgery. As a very self-conscious person, he was able to make me feel very comfortable being fully exposed and was professional every step of the way. His Support Staff are all so very courteous and professional. As far as the surgery itself, I would have to say I think that not only is he an excellent Surgeon, he is a Sculptor. I am extremely pleased with the results. The few people that I have shown my stomach and newly formed belly button are astounded at the results. Currently I am 9 weeks post op and feel wonderful and able to go back to the gym. Dr Shortt being a Perfectionist wants another 6mth appt to ensure that I remain am as happy as I am today and that the scarring is as minimal as possible. He has changed my life and I am very grateful. I would and have recommended him to several people already.

I am currently 5 weeks post op and am extremely pleased with my results

I am currently 5 weeks post op and am extremely pleased with my results so far and Dr.Shortt told me if I’m happy with the results so far, wait until I’m finally healed. Dr Shortt is an amazing doctor, his bedside manner is impeccable and at every step of the way he made me feel comfortable and you could tell he genuinely really cared. He took his time to listen to me and my concerns and reassured me he would do his very best, and the results so far are amazing, I am extremely happy and feel amazing. With any big surgery it can be scarey and nervous but Dr.Shortt is very knowledgeable and most of the time had already answered all my questions I had for him and he put me at ease. His staff are amazing to work with too, especially Joanne. Thank you guys, from my very first consult to today you have made this whole experience absolutely amazing. I would highly recommend you definitely go see Dr.Shortt his professionalism and the fact that he actually treats you like a person first shows he really cares.

I am very pleased with the excellent work of Dr. Rodger Shortt

I am very pleased with the excellent work of Dr. Rodger Shortt. His expertise and great manners helped me a lot through the difficult times and multiple operations I went through. As a cancer breast patient, I had two mastectomies for my right and left breasts. Dr. Short joined the surgeon on my second mastectomy and started his wonderful work of inserting the breast tissue expanders. I visited Dr. Shortt’s clinic several times to inject the saline into the breast expanders. During these visits, I appreciated the staff pleasant attitudes and Dr. Shortt recommendations. At the last stage of the process, Dr. Shortt removed the breast expanders and inserted the breast implants and he reconstructed my nipples from my breast skin. I am very pleased with the wonderful job Dr. Shortt has completed. I highly recommend Dr. Shortt and wish him every success with all the patients.

I am so very grateful for all the hard work he did

About 8 years ago I had a lumpectomy leaving my breasts very unbalanced. It has made super uncomfortable about my appearance especially in a bathing suite. Dr. Shortt did an amazing job fixing this. I am so very grateful for all the hard work he did. My girls look like twins instead of cousins. Also, his staff is excellent and caring. I am so happy and recommend him to anyone who needs a good Plastic Surgeon who listens and get the best possible results for his patient.

The above statements are from third party sites.
Dr. Shortt does not control any third party websites and is therefore not responsible for the content of third party sites.
They are provided as a source for your review and discretion.

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