PREPARING FOR YOUR SURGERY
Pre-Operative Instructions for Oral & Facial Surgery
Proper preparation before your surgery is essential for optimal outcomes and a smooth recovery. These general pre-operative instructions apply to most oral and facial surgical procedures. You will also receive specific instructions tailored to your particular surgery during your consultation. Please read these carefully and contact our rooms if you have any questions.
Medical History & Medications
Inform Us of Any Changes
Please notify our office immediately if there are any changes to your medical history, medications, or health status between your consultation and surgery date. This includes new illnesses, infections, pregnancy, or any concerns about your health.
Medication Management
Blood Thinners: Medications such as aspirin, warfarin, clopidogrel (Plavix), or other anticoagulants may need to be stopped or adjusted before surgery. Do not stop these medications without consulting both A/Prof Freudlsperger and your prescribing physician, as some conditions require careful management.
Anti-inflammatory Medications: NSAIDs such as ibuprofen or naproxen should typically be stopped 5-7 days before surgery as they can increase bleeding risk.
Herbal Supplements: Many herbal supplements and vitamins can affect bleeding or interact with anaesthesia. Discontinue all herbal supplements at least two weeks before surgery unless specifically advised otherwise.
Regular Medications: Continue taking all other regular medications unless specifically instructed otherwise. Bring a complete list of all medications, including dosages, to your pre-operative appointment.
Diabetes Medications: Special instructions will be provided for managing diabetes medications around surgery.
Allergies
Inform us of any allergies to medications, latex, or other substances. This includes previous reactions to local anaesthetics or antibiotics.
Fasting Instructions
For Procedures Under IV Sedation or General Anaesthesia
Fasting is essential to prevent serious complications during sedation or general anaesthesia:
For GA: No food for at least 6 hours before your scheduled surgery time
No milk, juice, or other drinks for at least 6 hours before surgery
Clear fluids only (water, black tea, black coffee without milk or sugar) up to 2 hours before surgery
For IVS: Nothing to Eat 4 Hours before your Surgery and Nothing to Drink in the 2 hours immediately before your procedure
Failure to follow fasting instructions may result in your surgery being postponed for your safety.
For Procedures Under Local Anaesthesia Only
You may eat and drink normally before procedures using only local anaesthesia. However, avoid heavy meals immediately before your appointment and ensure you're well-hydrated.
Personal Preparation
What to Wear
Wear loose, comfortable clothing with sleeves that can be easily rolled up
Avoid tight clothing around the neck or face
Wear flat, comfortable shoes
Remove all jewelry, including facial piercings, before arriving
Do not wear contact lenses (bring glasses if needed)
Avoid wearing makeup, nail polish, or artificial nails (these can interfere with monitoring)
Tie long hair back away from your face
What to Bring
Your prescription for post-operative medications (if provided in advance)
Photo identification and any medical cards
List of current medications with dosages
Any forms that need to be completed
Insurance or payment information
A responsible adult to drive you home (required for sedation or general anaesthesia)
Comfortable, loose-fitting clothing to go home in
Lifestyle Considerations
Smoking: Smoking must be stopped at least 4 weeks before surgery and throughout your recovery period. Smoking dramatically increases complications including infection, poor healing, tissue death, and implant or graft failure. If you need support to stop smoking, please discuss this with us or your GP. Nicotine replacement products (patches, gum, vaping) also impair healing and should be avoided.
Alcohol: Avoid alcohol for at least 48 hours before surgery. Alcohol can interfere with anaesthesia and increase bleeding risk.
Recreational Drugs: All recreational drugs must be avoided. These can cause dangerous interactions with anaesthetic medications and compromise your safety.
Medications on Surgery Day
Take your regular medications with a small sip of water on the morning of surgery unless specifically instructed otherwise. Diabetic patients should follow the specific instructions provided.
Oral Hygiene
Before Surgery
Brush and floss your teeth thoroughly the night before and morning of surgery (if fasting rules allow)
Rinse with an antiseptic mouthwash if provided
Maintain excellent oral hygiene in the days leading up to surgery
If you develop a cold sore, mouth ulcer, or any oral infection before surgery, contact our office immediately
Dental Work
Complete any necessary dental work (cleaning, fillings, etc.) at least 2 weeks before your surgery, unless otherwise advised.
Health Considerations
Illness or Infection
If you develop any illness, cold, flu, cough, fever, or infection in the week before your surgery, contact our office immediately. Surgery may need to be postponed to ensure your safety and optimal healing.
COVID-19 and Infectious Diseases
Please notify us if you:
Have tested positive for COVID-19 or other infectious diseases
Have been in close contact with someone diagnosed with an infectious disease
Are experiencing any symptoms of illness
Pregnancy
Inform us immediately if there is any possibility you may be pregnant, as this affects anaesthesia and medication decisions.
Women's Health
Surgery is generally not scheduled during menstruation when possible, particularly for extensive procedures. Please inform us of your menstrual cycle when scheduling.
Mental and Emotional Preparation
Understanding Your Procedure
Ensure you fully understand your procedure, expected outcomes, and recovery process. Write down any questions and contact our office before your surgery date.
Anxiety Management
It's normal to feel anxious before surgery. If you're experiencing significant anxiety:
Discuss sedation options with A/Prof Freudlsperger
Practice relaxation techniques in the days before surgery
Ensure you get adequate rest
Avoid excessive research online that may increase anxiety
Reach out to our team with concerns
Realistic Expectations
Review the information provided about expected outcomes, recovery timeline, and potential risks. Realistic expectations contribute significantly to satisfaction with results.
Home Preparation
Prepare Your Recovery Space
Arrange a comfortable place to rest with pillows for head elevation
Stock your refrigerator with soft foods and drinks
Fill prescriptions before surgery so medications are ready when you get home
Prepare ice packs or frozen peas wrapped in towels
Have clean towels and face cloths available
Set up entertainment (books, movies, music) for your recovery period
Arrange Help
Arrange for assistance at home for at least the first 24-48 hours, particularly after procedures involving sedation or general anaesthesia. You'll need help with:
Transportation
Meal preparation
Medication management
Household tasks
Childcare if applicable
Transportation and Accompaniment
Sedation or General Anaesthesia: You MUST arrange for a responsible adult to drive you to and from your appointment, remain at the facility during your procedure, and stay with you for at least 12-24 hours after surgery. You will not be permitted to drive, take public transport alone, or use a taxi/rideshare service unaccompanied.
Local Anaesthesia Only: While you can generally drive yourself, we recommend having someone accompany you for support, particularly for longer or more complex procedures.
Time Off Work or Study
Plan adequate time off from work, school, or other commitments. Recovery times vary by procedure, and specific guidance will be provided for your surgery.
Financial and Administrative Considerations
Payment and Insurance
Ensure all financial arrangements are completed before your surgery date. Bring any necessary insurance documentation or referrals.
Consent Forms
All consent forms should be completed and any questions resolved before the day of surgery. Don't hesitate to ask for clarification about anything you don't understand.
Final Checklist - Night Before Surgery
Confirmed transportation and support person arrangements
Prescriptions ready to be filled or already filled
Discontinued all required medications (blood thinners, anti-inflammatories, supplements)
Removed all jewelry and nail polish
Prepared comfortable recovery area at home
Stocked soft foods and drinks
No smoking or alcohol for appropriate period
Understand fasting requirements
Know what time to arrive
Have emergency contact numbers
On the Day of Surgery
Follow all fasting instructions precisely
Take only approved medications with a small sip of water
Perform thorough oral hygiene (if fasting allows)
Wear comfortable, loose clothing
Arrive at the scheduled time (usually 15-30 minutes before procedure)
Bring your support person
Leave valuables at home
Bring photo ID and any required documentation
Questions or Concerns?
If you have any questions about these instructions or any aspect of your upcoming surgery, please don't hesitate to contact our rooms. It's better to ask than to be uncertain.
We're here to ensure your surgical experience is as safe, comfortable, and successful as possible.
Contact Our Rooms:
Phone: (09) 529-5061
Email: info@oralandfacialsurgery.co.nz
Please note: These are general pre-operative instructions. You will receive specific instructions tailored to your particular procedure. In case of any conflict between these general instructions and your specific procedure instructions, follow the specific instructions and contact our office for clarification.
BOOK YOUR APPOINTMENT
Oral & Facial Surgery Auckland
Whether you need wisdom teeth removal, dental implants, corrective jaw surgery, or specialist assessment of oral pathology, A/Prof Christian Freudlsperger brings world-class expertise to your care.
With over 18 years of experience from one of Germany's leading university hospitals and current consultant positions at both Middlemore and Auckland City Hospitals, you can trust you're in expert hands.