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.

Testimonials

You can tell the enthusiasm and passion Dr.Shortt has for his work

From the get go the professionalism and expertise I had received far surpassed those from other consultations I had done. I had gone in for a breast augmentation and am amazed from the results. You can tell the enthusiasm and passion Dr.Shortt has for his work. He had stated that afterwards my breast would look “perfect”, I figured anything would be better then what I had. Unbelieving then, here I am now absolutely thrilled with the results. I had a tattoo where the implant incision would be, to my surprise Dr. Shortt was able to work around it as well.

Breast Augmentation – What an Amazing Doctor !

From the get go the professionalism and expertise I had received far surpassed those from other consultations I had done. I had gone in for a breast augmentation and am amazed from the results. You can tell the enthusiasm and passion Dr.Shortt has for his work. He had stated that afterwards my breast would look “perfect”, I figured anything would be better then what I had. Unbelieving then, here I am now absolutely thrilled with the results.

I had a tattoo where the implant insission would be, to my surprise Dr. Shortt was able to work around it as well.

The day of my surgery Dr. Shortt and his team made me feel very comfortable and well taken care of. Thank you again !

Dr. Shortt has a great eye and is a creative visionary

Everyone reacts differently to a diagnosis / treatment of breast cancer. For me, after the mastectomy, I no longer felt whole. I decided reconstructive surgery was the answer which was very intense – but no regrets. The results were good but I still felt a little mismatched. My surgeon referred me to Dr. Shortt. Like so many others on this site, I felt like he knew exactly what I was looking for and how to get there. Dr. Shortt has a great eye and is a creative visionary that can determine what need to be done, coupled with the skill to do it. What really differentiates him from the rest though, is his empathy and understanding. You don’t often find doctors who are good at combining the science with compassion. This was a surprising and greatly appreciated aspect of my care. I am 4 weeks post op now and I have to say the results are spectacular. I feel like the sisters have been reunited and I am whole again. If you have had reconstructive surgery and feel you need a little more finessing, take my advice and make it happen. You will be glad you did. I would highly recommend Dr. Shortt to my closest friends and family and to anyone looking for cosmetic improvements.

Thank you again,

Susan

Amazing plastic surgeon

Amazing plastic surgeon who was initially referred to me by another plastic surgeon. From my first consultation, Dr Shortt immediately knew what surgical procedures were the best option for my situation. No hesitation in diagnosis and recommended plan of action. I’m a breast cancer survivor and I thought a breast reconstruction was a lost cause for me due to my extension radiation treatments and consequential skin damage. Dr Shortt was very methodical and professional throughout the entire 18 month process. Before each surgery, I witnessed assertiveness and confidence with a sure hand mapping my body with his sharpie pen. He made me feel at ease with his good sense of humour and music.
My breast cancer journey is at long last over and I am quite happy with the final results. I feel rejuvenated and have gained my confidence back. I am so glad that I didn’t hesitate with my initial decision to go forward with the breast reconstruction. Thank you so much Dr. Shortt.

Nicest doctor ever

Dr. Shortt made my experience so wonderful and easy, he listened to all my concerns and was so helpful with everything. I had small implants put in to correct my tuberous breast and didn’t want too much of a visible change in size, he did exactly that and was so helpful throughout the whole process and made things very easy. I can’t thank I’m enough!

Amazing Experience with Dr. Shortt

I had an amazing experience with Dr. Shortt and his staff. I am so thankful to have had such a skilled surgeon and I am extremely happy with the results and I am glad I went through with the procedure/ chose Dr. Shortt as my surgeon. When I went for my pre-op check-up with my GP he asked who my surgeon was and when I told him it was Dr. Shortt he said that Dr. Shortt is a very good surgeon/ “one of the best.” The consultation process was excellent, I had more questions than the average patient. I asked specific questions about the procedure and the techniques that he uses for the surgery and he was more than happy to answer all my questions and let me know that I could come back for further consultations if I had more questions etc.

I highly recommend Dr. Shortt

I highly recommend Dr. Shortt. I recently had laser surgery on my face and am very pleased with the results. Dr. Shortt was patient, understanding and answered all my questions during our consultation. I later had some concerns about the surgery and Dr. Shortt listened to them and modified the procedure for me. I felt completely confident in his skill, expertise and professionalism and am very glad I went ahead with the surgery.

Feel and look better than ever before.


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