Clinical Research Directory

Inclusion Criteria: 1. Female 2. Age 13-25 at the time of surgery 3. Undergoing bilateral reduction mammaplasty at Connecticut Children's from 1/1/2022-12/31/2025. 4. Ability of child's parent/legal guardian to understand and the willingness to sign a written informed consent document. Exclusion Criteria: 1. Patients with history of substance use disorder or "chronic pain" defined as pain requiring management and treatment by a pain management specialist. 2. Patients already taking narcotics at the time of surgery. 3. Patients with a history of hepatic or renal dysfunction. 4. Patients with known allergy to bupivacaine. 5. Patients who are pregnant, determined by urine testing in pre-operative area. 6. Patients who are non-verbal or have developmental delays that would result in inability to report reliable pain scores. 7. Patients with significant post-operative complications 8. Patients not meeting inclusion criteria. 9. Patients lost to follow-up- they must be seen within 1 week and 4 weeks post-operatively