An Analgesic Regimen for Opioid Reduction in Elective Plastic Surgery

A Randomized Prospective Study

Ashley Newman, B.S.; Steven P. Davison, M.D., D.D.S.


Plast Reconstr Surg. 2021;147(2):325e-330e. 

In This Article


The results of this prospective study demonstrate that multimodal enhanced recovery after surgery analgesic approaches for elective cosmetic surgery lead to improved pain control. Patients experienced decreased pain scores in the postanesthesia care unit and at discharge, and on average took fewer opioids in the postoperative period. The overprescribing of opioids in the postoperative period is a precursor to opioid abuse and results in an increase in the national opioid reservoir. Historical prescribing practices vastly overestimated the dose numbers required for elective cosmetic surgery procedures; with data provided in this article, enhanced recovery after surgery protocols may help to address overprescribing practices in elective cosmetic procedures.