BEFORE your treatment

  • Avoid anti-inflammatory/blood thinning medications one week before the procedure.
  • These include medications such as Aspirin and other NSAIDs, Vitamin E, Fish oil, Gingko Biloba, Ginseng, and St. John’s Wart.
  • Your treatment could last a few hours, so please eat before your appointment.
  • Consider taking Arnica tablets 1 week prior to the procedure to prevent bruising. You may purchase Arnica from health stores; we also carry it at ENIC.
  • Do not apply creams or lotions to treatment areas.

Day of Your Treatment

  • Do not apply creams or lotions to treatment areas.
  • Wear comfortable clothing that allows easy access to the treatment area.
  • Coolsculpting can take several hours, depending on your treatment plan.
  • As the procedure begins, a vacuum/suction applicator draws tissue into an applicator. The vacuum pressure may cause deep pulling, tugging, and pinching sensations in the treated areas. A surface applicator may cause sensations of pressure. You also may experience intense stinging, tingling, aching, and cramping. These sensations generally subside as the areas become numb.
  • There is some pain and discomfort when the applicator is removed, and the tissue begins to warm up.

What to Expect

  • Immediately after the procedure, your treated areas may look or feel stiff, and transient blanching (temporary skin whitening) may occur.
  • The treatment area may be red and feel tingly, stingy, or itchy for a few hours after removing the applicator. This is an expected but temporary effect after the CoolSculpting procedure.
  • Bruising, swelling, and tenderness can occur in the treated areas. This typically resolves within a week or two.
  • Following the procedure, some may experience late-onset pain. This typically occurs 5-7 days post-treatment and can last up to a few days. Some experience intense cramping and tingling in the area.
  • During the first two weeks following the procedure, you may experience one or more of the following sensations: deep itching. Tingling, numbness, tenderness to the touch, pain in the treated areas, strong cramping, diarrhea, nausea, dizziness, muscle spasms, aching, and/or soreness.

After Your Treatment

  • Wait 24 hours to do vigorous exercise.
  • Resume daily activities as usual.

Contact our Office

  • If your side effects worsen or persist for longer than 2 weeks.


  • Every 4-6 weeks.

Back to Pre & Post Care Instructions

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We have been fully operational since May of 2020. With patience and with care, we all are returning to normalcy. Our office continues to use safety protocols, and we are eager to see you.


For patients who desire a virtual consultation, this option is available.
Our virtual web consultations can be done right in the comfort of your own home. All you need is a secure Internet connection and a computer, tablet, or smartphone.
If you would like to have a VIRTUAL CONSULTATION or have any questions, please give us a call at (425) 827-7878 or contact us via our website to set up your virtual consultation today.


Updated May 2022
We have been fully operational since May of 2020. This includes skincare and our non-invasive center (ENIC).
We know that so much of this pandemic caused an inconvenience for you, but we are delighted to see a return to normalcy. 
We will continue to be vigilant in our approach to Covid 19. For over two decades, we have considered safety as our most important prerogative — and there has never been a more important time to put that to use.
Here are some things we’re doing to ensure you are protected and that we maintain this facility as a Non-Covid Care (NCC) zone:

Patient Flow and Clinical Office Space

We now have a well-tested protocol of texting patients for control of flow for consultations.
We are assigning everyone to hourly wipe-downs of high-use areas with approved sanitizing wipes.
We are asking that no one wait in the waiting area.
We are coming up with protocols for room wipe-downs after each patient visit.
Every staff member will always wear a mask while in the office.
Every staff member will sanitize or wash hands after every interaction.
Implementation of virtual pre-ops, nursing visits, and questions.

Operating Room Experience

Similar precautions and questionnaires will be provided to establish Covid-19 Clear Status.
All staff will always wear a mask. All staff will always wear gloves.
Hand washing will be done for any patient interaction.
Specific wipe-down of our operating room, recovery, and pre-op areas will be performed.
We will minimize accompanying caretakers to only one. Those caretakers will be treated just like the patients.
Anesthesia Experience
Every anesthesia staff will wear goggles and other protective equipment during intubation.
Our anesthesiologists have been fully trained and are implementing all precautions for prevention of Covid-19 spread.
All circuits will be changed between each patient.
Full wipe-down of surfaces and floors will be performed.
We will implement a time-out protocol to confirm the Covid-19 Clear Status of every patient.

As you can see, we are taking this very seriously. We fully understand that this will cause some inconvenience in the short term, but realize that it is for the best.
Although Covid-19 has been a serious issue, we are seeing a resumption of normalcy. We continue to monitor this situation on a real-time basis, and we will not sit back until we know that we have done everything possible to avoid unnecessary exposure.
When you see us in action, you’ll realize that you have put your trust in the right practice.
Here are some links that might be useful:
State of Washington Department of Health
Centers for Disease Control and Prevention (CDC)
World Health Organization (WHO)
Please do not hesitate to contact us. We are always here to answer your questions!
Call us at (425) 827-7878
Email us at [email protected]

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