Before the Needle Pricks, You Need to Know These Tricks

To get the best out of your injections, you need to know what you’re getting, how to prepare, and what to avoid. Below is a compilation of facts and tips from all of the injectors at Egrari’s.


Bruising is the most common side effect we see after Botox and filler injections. Below are a few tips and tricks to help you prevent/minimize bruising:

It’s a Needle

The most important thing to acknowledge about cosmetic injections is – We are using a needle – Although it is rare, bruising can happen. The face has tiny blood vessels all over and their location differs from person to person. If one of them is knicked during injection, it will cause a very small bruise.

Blood Thinners

Anything that thins the blood can increase the risk of bruising. To help prevent/minimize bruising avoid the following 24-48 hours before and after your injections:

    • » Nonsteroidal anti-inflammatory drugs – Ibuprofen, Aleve, Advil, or Aspirin.
    • » Fish Oil & Vitamin E Supplements.
    • » Alcoholic Beverages


Arnica can be used to help minimize bruising. For optimal results – Take recommended amount 2 days before, the day of, and 2 days after your injections. If bruising occurs during your injections and you are not taking Arnica, we provide arnica tablets by VitaMedica. Applying a topical Arnica can help with bruising as well.


Icing before your injections and within the first 24 hours after will help minimize swelling from Fillers (Juvéderm, Restylane, Radiesse, Voluma, Vollure, Volbella) or Kybella.


Arriving at the office with a freshly cleaned face is best, but if you are on the go, we will supply a facial wipe to use, then your provider will clean the injection areas with an alcohol wipe. To prevent infection we recommend waiting until the next day to apply makeup.

Strenuous Activities

Physical activity increases your heart rate – great for the body, but not for Botox. Any activities that get your blood pumping can cause your Botox to travel and paralyze the surrounding muscles. You should avoid activities that increase your heart rate for 24 hours following your Botox injections.


Keep your face and/or lips moisturized – the majority of dermal fillers consist of Hyaluronic Acid (HA), a naturally occurring substance in the human body. HA absorbs moisture, resulting in volume in the treated area.

If you would like to learn more about cosmetic injections or other treatments we offer, please browse our Non-Invasive, Skincare, and Plastic Surgery procedure pages or call our office at 425.827.7878.

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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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