Safety is one of the most important elements of your journey. We strive to provide you with the best possible outcome in the safest manner. We also believe in total transparency in telling you about the possibilities of risks and poor outcome. Plastic surgery is not just a science, but an art. Our aim to paint a very clear expectation of the outcome including the risks.

  • Every surgical procedure involves a certain amount of risk and it is important that you understand these risks and the possible complications associated with them. In addition, every procedure has limitations.
  • Each procedure is different in the scope of its risks.
  • Each procedure will have a detailed informed consent that will be provided for you, so you clearly understand the possibilities and the potential risks.
  • An individual’s choice to undergo a surgical procedure is based on the comparison of the risk to potential benefit. Although the majority of patients do not experience these complications, you should discuss each of them with Dr. Egrari to make sure you understand all possible consequences of your selected procedure.

General Surgical Risks

  • Bleeding — It is possible, though unusual, to experience a bleeding episode during or after surgery. Should post-operative bleeding occur, it may require emergency treatment to drain accumulated blood or blood transfusion. Do not take any aspirin or anti-inflammatory medications for ten days before or after surgery, as this may increase the risk of bleeding. Non-prescription herbal and dietary supplements can increase the risk of surgical bleeding.
  • Seroma — Fluid may accumulate in an area following surgery, trauma or vigorous exercise. Additional treatment may be necessary to drain fluid accumulation. This is very rare in most operations that are done.
  • Infection — Although infection is unusual after procedures that we perfrom, it may appear in the immediate post-operative period or at any time. Should an infection occur, treatment including antibiotics or possible drainage of the infection might be necessary. In a setting like the Egrari Plastic Surgery Center, infections are rare and almost nonexistent. We do not perfrom contaminated cases and the chance of acquiring an infection is nearly zero. With our immaculate techniques and the maintenance of our operating facility you can rest and be assured that infections are astronomically low.
  • Scarring — All surgery leaves scars, some more visible than others. Excessive scarring is uncommon. Although good wound healing after a surgical procedure is expected, abnormal scars may occur within the skin and deeper tissues. Scars may be unattractive and of different color than the surrounding skin tone. Scar appearance may also vary within the same scar. In some cases, scars may require surgical revision or treatment.
  • Surgical Anesthesia — Both local and general anesthesia involves risk. There is the possibility of complications, injury, and even death from all forms of surgical anesthesia or sedation.
  • Allergic Reactions — In rare cases, local allergies to tape, suture material and glues, blood products, topical preparations or injected agents have been reported.
  • Pain — You will experience pain after your surgery. Pain of varying intensity and duration may occur and persist after any surgery. Chronic pain may occur very infrequently from nerves becoming trapped in scar tissue or due to tissue stretching.
  • Skin Discoloration / Swelling — Some bruising and swelling normally occurs after any operation. The skin in or near the surgical site can appear either lighter or darker than surrounding skin. Although uncommon, swelling and skin discoloration may persist for long periods of time.
  • Sutures — Most surgical techniques use deep sutures. You may notice these sutures after your surgery. Sutures may spontaneously poke through the skin, become visible or produce irritation that requires suture removal.
  • Asymmetry — Body and the face is not symmetrical in everyone. Despite the best techniques available, lack of symmetry will linger and perhaps become exacerbated. Please know that achieving 100% symmetry is not possible.
  • Change in Skin Sensation — You may experience a diminished or loss of sensitivity of the skin of area that has been operated on. After several months, most patients have normal sensation. Partial or permanent loss skin sensation may occur occasionally.
  • Damage to Deeper Structures — There is the potential for injury to deeper structures including nerves, blood vessels and muscles and lungs (pneumothorax) during some surgical procedure. The potential for this to occur varies according to the type of procedure being performed. This is a rare event that has not been seen in this practice.
  • Delayed Healing — Wound disruption or delayed wound healing is possible. Some areas of the surgical incision may not heal normally and may take a long time to heal. This is rare in most procedures but is seen in some of the major breast and body contouring that is performed. Smokers have a greater risk of skin loss and wound healing complications.
  • Cardiac and Pulmonary Complications — Pulmonary complications may occur secondarily to both blood clots (pulmonary emboli), fat deposits (fat emboli) or partial collapse of the lungs after general anesthesia. Pulmonary emboli can be life-threatening or fatal in some circumstances. Inactivity and other conditions may increase the incidence of blood clots traveling to the lungs causing a major blood clot that may result in death. It is important to discuss with us any past history of swelling in your legs or blood clots that may contribute to this condition. Cardiac complications are a risk with any surgery and anesthesia, even in patients without symptoms. Should any of these complications occur, you may require hospitalization and additional treatment. If you experience shortness of breath, chest pain, or unusual heart beats, you should have this evaluated immediately.
  • Shock — In rare circumstances, your surgical procedure can cause severe trauma, particularly when multiple or extensive procedures are performed. This is a rare and unseen event in the types of procedures that we perform. If surgical shock occurs, hospitalization and additional treatment would be necessary.
  • Bladder Catheterization — Urine output is one of the most important measurements of the body’s performance during anesthesia. For surgeries that last more than 3-4 hours it is recommended and important that a urinary catheter be placed for both monitoring and drainage.
    • Bladder catheterization is done while the patient is asleep and is performed by our nursing staff or Dr. Egrari. There are risks involved with catheterization which include infection, bleeding, damage to urethra, irritation, need for urologic evaluation, and further procedures.
  • Female Patient Information — It is important to inform your plastic surgeon if you use birth control pills, estrogen replacement, or if you suspect you may be pregnant. Many medications including antibiotics may neutralize the preventive effect of birth control pills, allowing for conception and pregnancy.
  • Intimate Relations after Surgery — Surgery involves coagulating of blood vessels and increased activity of any kind may open these vessels leading to a bleed, or hematoma. Increased activity that increased your pulse or heart rate may cause additional bruising, swelling, and the need for return to surgery and control bleeding. It is wise to refrain from sexual activity until your physician states it is safe.
  • Medications — There are many adverse reactions that may occur as the result of taking over-the-counter, herbal, and/or prescription medications. Be sure to check with your physician about any drug interactions that may exist with medications that you are already taking. If you have an adverse reaction, stop the drugs immediately and call us for further instructions. If the reaction is severe, go immediately to the nearest emergency room. When taking the prescribed pain medications after surgery, realize that they can affect your thought process and coordination. Do not drive, do not operate complex equipment, do not make any important decisions and do not drink any alcohol while taking these medications. Be sure to take your prescribed medication only as directed.
  • Mental Health Disorders and Elective Surgery — It is important that all patients seeking to undergo elective surgery have realistic expectations that focus on improvement rather than perfection. Complications or less than satisfactory results are sometimes unavoidable, may require additional surgery and often are stressful. Please openly discuss with your surgeon, prior to surgery, any history that you may have of significant emotional depression or mental health disorders. Although many individuals may benefit psychologically from the results of elective surgery, effects on mental health cannot be accurately predicted.
  • Smoking, Second-Hand Smoke Exposure, Nicotine Products (Patch, Gum, Nasal Spray, Chew, Vape) — Patients who are currently smoking, use tobacco products, or nicotine products (patch, gum, or nasal spray) are at a greater risk for significant surgical complications of skin dying and delayed healing. Individuals exposed to second-hand smoke are also at potential risk for similar complications attributable to nicotine exposure. Additionally, smoking may have a significant negative effect on anesthesia and recovery from anesthesia, with coughing and possibly increased bleeding. Individuals who are not exposed to tobacco smoke or nicotine-containing products have a significantly lower risk of this type of complication. It is important to refrain from smoking at least 6 weeks before surgery and until Dr. Egrari states it is safe to return, if desired. A urine test may be performed prior to surgery that will prove the presence of nicotine. If positive, your surgery may be cancelled and your surgery, scheduling fee, and other pre-paid amounts may be forfeited.

This is not a complete and exhaustive list. These are some of the general risks that exist. Each procedure is unique and during your pre operative period, such features will be fully described.

We are all about transparency and knowledge.

2950 Northup Way Bellevue, WA 98004

Plastic Surgery Center, Suite 100 | (425) 827-7878

Non-Invasive Center, Suite 105 | (425) 827-8285

Contact Us (425) 827-7878

Practice Policy Update Regarding COVID-19 View Update Virtual Consultation

Practice Policy Update Regarding COVID-19

Coronavirus (Covid-19) Update

Updated March 30, 2020

After today’s National recommendation for extension of social distancing, and in line with our states “Stay Home Stay Healthy” mandate we have decided to suspend all non-essential daily services of Egrari Plastic Surgery Center and Egrari Non Invasive Center (ENIC) until May 4, 2020. Governor Jay Inslee has issued Proclamation 43.06.220 prohibiting elective surgery, including all cosmetic surgery, taking effect immediately and remaining in effect until May 18, 2020. Although these have been very difficult turn of the events, as it shuts down our practice, it is being done for the right reasons. Elective operations are placing undue burden on the supply chain of our health care system at a time of grave crisis. This is especially true for Personal Protection Equipment (PPE) – gowns, masks, gloves, and swabs. Also, social distancing appears to be the only way we can fight this pandemic. At a time like this we all have got to place the interest of the public above and beyond our own. We must also do everything in our power to assist in the fight with Covid-19.

We also ask for your patience in the rescheduling process. Without any exception our patients have been kind, gracious and understanding. We sincerely appreciate your indulgence in this very difficult time.

Your health and well-being and that of our staff are so important to us and we want to do our part to make sure that everyone is protected.

Effective immediately the following will occur:

  • All elective surgical cases will be suspended until May 18, 2020.
  • All ENIC procedures and consultations will be suspended till May 4, 2020. This will be re-evaluated constantly.
  • All skin care services will be suspended till April 8, 2020. This will be re-evaluated constantly.
  • The office will be open (Monday to Thursday 9-4:30); however, we have asked all non-essential staff to work remotely. We will continue to see our urgent post-surgical follow ups.
  • We are instituting Virtual Consultations for our large inquiry base.
  • All surgeries that have been canceled have been rescheduled.
  • No patient will ever have any financial recourse for rescheduling their procedures.

We are constantly updating our services and staffing according to the local and national recommendations and will always place your health and well-being as our top priority.

We have also offered our facility as a possible field medical unit should there be a need. We have an operating room that can be a well-equipped Intensive Care Unit (ICU) bed. Our recovery facility and exam rooms can house up to 6 patients. We are also looking at all our inventory and determining the items, especially PPE, that can be donated to our local health care system.

We continue to exercise all the latest recommendations that are handed down by CDC. These include:

  • Staff have been fully informed and trained to understand the disease process and its modes of transmission.
  • All staff, vendors and ancillary personnel are being asked to refrain from coming to this office if they have any signs or symptoms of a cold or an upper respiratory tract infection.
  • Every patient is also being asked to refrain from coming to the office if they have any symptoms.
  • Any patient that comes to our office will have their temperature checked.
  • We are asking our patients about any pertinent travel history.
  • Hand-washing continues to be the most important mode of prevention. Although it is a part of what we constantly do, now we are doing so with heightened vigilance and attention.
  • We have instituted a “no handshakes no hug” policy for now.
  • We have asked all vendors that any unnecessary meetings are canceled until further notice.
  • Any exit and entrance from our office are followed by a protocol of changing shoes, scrubs and sanitization.
  • All deliveries are opened in our distribution center and only opened products are brought into our facility.
  • As we are an accredited medical facility, we are constantly sanitizing all surfaces. We have now vamped that up and are routinely, multiple times a day, wiping down all surfaces, desks, door handles, keyboards and restroom facilities. We have assigned a person that does so on a constant basis.

Although Covid-19 is a serious issue, we strongly believe that it will pass and hopefully make our infrastructure and our ability to deal with pandemics in this Country even better than it currently is. We are monitoring this situation on a real-time basis and will not sit back until we know that we have done everything possible to avoid unnecessary exposure.

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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