Otoplasty (Genioplasty) Pre & Post-Operative Instructions

Pre-Operative Instructions

  • Please advise the doctor if you are taking any blood thinning medication (e.g.
    Warfarin, Disprin, Aspirin, etc.)
  • This will need to be discontinued prior to surgery as per doctor’s instructions.
  • Uncontrolled high blood pressure raises the risk of bleeding complications in all forms of surgery – please ensure your blood pressure is well controlled prior to your surgical date.
  • DO NOT take any of the following medications prior to surgery:

– Anti-inflammatories (e.g. Brufen, Ibuprofen, Myprodol, Voltaren, etc.).

– Homeopathic medications (e.g. Arnica, Rescue Remedy, St John’s Wort).

– Vitamin E (oral or topical)

  • Prepare your skin for 3 weeks before surgery with Dermalac Lotion and Vitamin A, C & E Body Oil from Environ.
  • Take a bath or shower with antibacterial soap (or Bioscrub) on the morning of your admission.
  • Hair should be washed the night before or morning of your admission to hospital.
  • Wash your face thoroughly with antibacterial soap on the morning of your admission to hospital.
  • Do not apply day cream or make-up.
  • Regardless of whether you are having a general anesthetic or conscious sedation – you should not eat or drink anything for 6 hours prior to surgery.
  • If you are a smoker – NO SMOKING for 1 months prior to surgery.
  • Bring comfortable cotton underwear.

Post-Operative Instructions

  • You will need someone to drive you home after your surgery and help you for 1 to 2 days.
  • You will need plenty of rest.
  • Decreased activity and pain medication may promote constipation, so you may want to add more fruit and fiber to your diet.
  • Be sure to increase your fluid intake.
  • Take pain medication as prescribed. Do not take aspirin or any products containing aspirin.
  • Do not drink alcohol when taking pain medications.
  • If you are taking vitamins with iron, resume these as tolerated.
  • Do not smoke, as smoking delays healing and increase the risk of complications.


  • Usually you will be up and about a few hours after surgery.
  • Start walking as soon as possible – this helps to reduce swelling and lowers the chance of blood clots.
  • Do not drive until you are no longer taking any pain medications.
  • You can return to work in 5 days after surgery, depending on your occupation.
  • You may resume full social activities in 5 to 10 days.
  • Avoid any activity, such as contact sports in which the ear might be bent, for at least 3 months. Always speak to your doctor about this.

Incision Care

  • “Helmet” dressing must not be removed for 7 days.
  • Avoid exposing your scars to the sun for at least 12 months.
  • Always use sunblock – regardless of the weather – if you plan to go outdoors or not.
  • Keep incisions clean and inspect through Micropore daily for signs of infection or oozing.
  • You may wash your hair once the “helmet” is removed.
  • You may follow your usual skincare routine – taking care to avoid applying any creams containing Vitamin E in the incision areas.
  • ScarScience, available from MASC Laser Clinic, should be applied from 6 weeks postoperatively and directly on the incision for another 3 months postoperatively.

What To Expect

  • Temporary throbbing and aching in the first hours post-operatively.
  • Large pressure dressings and bandages are applied around the ears and head, like a helmet.
  • Some swelling and bruising may last 10 to 14 days.
  • Some numbness may exist around the operative areas.
  • Tenderness could last up to 3 months.


  • Usually, there will be a faint scar behind the ear, but this will eventually fade.
  • Do not expect both ears to match perfectly, as perfect symmetry is unlikely and
    unnatural in ears.

Follow Up Care

  • All sutures are either removed or they will dissolve in 1 to 2 weeks.
  • ScarScience must be applied on the incision from 6 weeks post-operatively to help with the prevention of hypertrophic and keloid scarring. It should be used for at least 3 to 6 months post-operatively.

When To Call

  • If you have increased swelling or bruising beyond 72 hours post-operatively.
  • If you have severe or increased pain not relieved by medication.
  • If you have any side effects to medications, such as rash, nausea, headache, and vomiting.
  • If you have an oral temperature over 37°C.
  • If you have any drainage from the incisions or notice a foul odor.
  • If you have bleeding from the incisions that does not stop with light pressure.

Emergency Contact: 078 867 61372