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spa6Exparel (bupivacaine/depofoam) is a recently developed, unique, long-lasting anesthetic. Prior to the arrival of Exparel, local anesthetics were injected at the time of surgery and lasted for only several hours after surgery. Exparel is injected around the surgical incisions while the patient is under anesthesia. This anesthetizes the surgical area and markedly reduces post-operative pain forTHREE DAYS. Most post surgical discomfort usually improves after the first three days.

We at ASSOCIATES IN PLASTIC SURGERY believe Exparel will be a major aid in decreasing post-operative discomfort. The benefits to our patients’ experience are best described by the following testimonials:


 “I have had two experiences

taking care of loved ones who have had breast surgeries. They didn’t have the injections back then so they were in a lot of pain. I had to help them sit up and stand up all the time. They always complained that they were hurting even after taking the pain medication. When my wife had the surgery, they used the injections and she was a trooper. Her pain was non-existent. It really had exceeded my expectations and hers. She was up and down the stairs doing things around the house the night of the surgery. I am going to tell everybody to get the shots for pain because it works.”

 -BK (June 7, 2013)


 “When I had my breast augmentation,

the one thing I was dreading was the pain and discomfort after having the procedure. [The doctor] told me about Exparel, a pain management analgesic and I opted to use it. Well, it was unbelievable. I was not in any pain after the procedure. I could not believe it. [The doctor] did a great job and with Exparel my recovery was a breeze!”

 -JG (June 6, 2013)


 “I want to say thank you to Dr. Alspaugh

and his staff for the amazing care I received while recently undergoing breast augmentation surgery. Everyone was so warm and kind and took the time to answer all of my questions. I was expecting to be in a lot of pain after my surgery, but Dr Alspaugh utilized a new product called Exparel during my procedure and I was shocked at how good I felt after surgery. I hardly took any pain meds and was back to work in 5 days with very little discomfort! I am very pleased with my results and fast recovery,and highly recommend Dr Alspaugh to all my friends!!”


-KH  (June 25, 2013)
  • Lisa Turner
    Lisa Turner

    Hands down this is the most amazing plastic surgery office! No haggling and Dr. Jacobs will not perform a surgery if the scar exceeds the benefit. His words exactly which is exactly what I want to know ahead of time not after the surgery is done. Dr. Jacobs is a phenomenal surgeon and I trust him 150%. Felecia his nurse is as wonderful as Dr. Jacobs!!

  • I visited Dr. Johnathan Jacob's Office to see about getting a Lipoma removed from my upper left shoulder. After meeting Dr. Jacob's he discussed with me what needed to be done to remove it. I was very happy with the surgery and how good a surgeon he is. I was very satisfied with the procedure and the outcome. I was happy with his staff also they took good care of me. ???

  • Karolyn Lea
    Karolyn Lea

    I am very pleased with Dr. Alspaugh and staff. I appreciate his honesty and his ability to give good advice. He was very professional and made sure I was comfortable. I’m looking forward to working hard and encouraged to start on this new journey to improve my look and my health...all in one. He’s so amazing.

  • Charity Wilder
    Charity Wilder

    Felicia is the absolute BEST. If you enjoy the feeling when people say, “You look too young to have a 19 year old.” Then book an appointment with Felicia immediately. She’s the sweetest human being on the planet and excellent at her job.

  • Love the staff!! They are so friendly and take time with you to really listen to your needs. Highly recommend!!

  • Julie Jackson
    Julie Jackson

    'My experiences at Associates in Plastic Surgery have all been outstanding. I have been a patient for more than 10 years. Dr. John Alspaugh is pleasant, patient and very informative. He listens to you and your concerns. I am always very happy with the results. Cheryl, his nurse is amazing! Go see her! She is sweet and knowledgeable. She eases my nerves and answers all of my questions and concerns. She even makes me laugh. Wonderful, caring staff.