There is some hope for a narcotic-free future.
, and the like. Depending on the procedure, you could be in for an uncomfortable couple of days. Up until recently, many plastic surgeons didn’t give as much thought to prescribing narcotics like Vicodin, Percocet, and oxycodone to address the issue and maintain a level of comfort for patients. But as the country grapples with an opioid epidemic that claimed tens of thousands of lives last year alone, doctors who perform cosmetic procedures are taking a closer look at pain management.
"Ten years ago, when I was doing liposuction, I would send a patient home with a prescription for 10 Percocet," says Cheryl Karcher, a New York City dermatologist. "And that was considered a little bit by most doctors’ standards then." But in the past six years, Karcher has not prescribed a single narcotic for. “I use so much local anesthetic during the procedure, and then Tylenol is plenty [after that]," she says.
In Karcher’s opinion, writing that Percocet prescription just isn’t worth the risk. "You never know who has that genetic predisposition for addiction. If there’s a family history, there’s a larger chance of the patient having the genes for addiction," she says. “You can give opioids to plenty of patients that take them, it kills the pain, and then they never take them again. But [some] are going to take them and say, ‘Oh, my God, this makes me feel so much better.
About 10 years ago, Karcher became addicted to opioids after they were prescribed to her following several orthopedic surgeries. She has been in recovery since 2010 . While Karcher is passionate about not prescribing narcotics to her patients, she recognizes that, as a dermatologist, the recovery from the procedures she does is less intense than more invasive procedures that plastic surgeons perform. In that field, narcotics are often prescribed for controlling pain after major operations like large-volume
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