After a breast augmentation and mastopexy, I commonly prescribe muscle relaxants and narcotic pain medication. Most patients will usually take the muscle relaxant only and will be comfortable with just that. Some others may need to supplement the muscle relaxant with Tylenol. In certain cases, patients may need to add the narcotic pain medication that is prescribed. However, most patients (if they are taking any pain medications) will not need them after the first 48 hours.