Ear-Piercing

Jennifer Kalisvaart • April 9, 2024

You've decided to get your child's ears pierced... now what?

Ear-piercing is something that people decide to do for either personal or cultural reasons. Ear-piercing should be a positive experience for all involved. As such, Centennial Pediatrics of Spokane has decided to provide this service. We have had several of our staff and providers undergo extensive training on the use of the medical-grade Studex system.


When should a child have the ears pierced?

This is a tough question. Some recommend waiting until the child is able to help care for the piercing. Others feel that as a young child, the parents are better able to help with this care. Each family and child have to make this decision for themselves.


What type of piercing do you do?

We only do earlobe piercings in our office. We do not pierce cartilage or any other areas other than the ears.


What makes a pediatric office different than another piercing location?

We know kids... and they know us. The families also know the care and attention we put into maintaining a clean, healthy environment. Additionally, we are more than familiar with sterile procedures and keeping things as clean as possible. For our patients, the child and family are already familiar with us and feel comfortable in the office.


What system do you use and why?

After much thought, we decided on the Studex system. This is a medical-grade device that maintains sterility of the earring and clasp during the entire procedure. The earrings we have chosen are nickel-safe and allergy-free. Interestingly, nickel is one of the most common allergens to which people become sensitized, so we want to make sure we avoid products that would contribute to this. We also found that the education Studex provides as part of the process is top-notch. Members of our staff and providers have been trained by the Studex team.


What is the aftercare routine?

We believe in doing things right the first time which is why we bypassed the standard aftercare solution and went for the advanced one. This allows the piercing to heal better and faster. This is included with your piercing. It is a hypoallergenic solution that is good for sensitive skin. We will provide aftercare instructions at the time of piercing, but the use of this solution allows the piercing to heal in 3 weeks rather than 6-8 weeks with the standard aftercare solution.


What should I watch for after an ear piercing?

If you notice any drainage from the ear, swelling or redness, we would want you to contact us. We take every measure possible to avoid an infection, but as with any procedure, this can happen. Additionally, some people will develop a cyst or enlarged scar (keloid) after a piercing. This is less likely in children than adults, but it is definitely something to keep an eye on.


If I am interested in getting an ear-piercing at your office, what should I do?

We do require proof of at least one DTaP vaccine prior to piercing ears, which means the youngest that typically we would pierce would be 3 months of age. As ear-piercing is not an insurance-covered procedure, families do need to pay out-of-pocket for this. The cost is $100 which includes the piercing, the set of earrings and the aftercare products. If you are interested in doing an ear-piercing at Centennial Pediatrics of Spokane, please call 509-352-3777 to schedule.

By Jennifer Kalisvaart January 15, 2026
The discussion about vaccines has become forefront in our society. It extends from parents on the playground to governmental officials, and so we know many of you have questions as you navigate this issue. As professionals who care for children, our job is to look into the research and educate families as to the science behind childhood vaccinations. The American Academy of Pediatrics (AAP) has always stood behind a schedule that reinforced the need to protect children against life-threatening/life-altering diseases. Vaccine science has become so fine-tuned that children these days receive less of the antigen (illness-causing portion of the vaccines) than their parents or grandparents did as children while protecting against many more diseases. The diseases that these vaccines protect still exist. Cases of measles continue to crop up in large amounts. Whooping cough (pertussis) is common in our community. RSV lands tons of young infants in the hospital annually requiring supplemental oxygen and can result in death. And not uncommonly, there are outbreaks of hepatitis A that circulate in Spokane. We would love for all of these illnesses to be eradicated, but the truth is that they still exist and still pose a threat to our children and adults. We have the benefit in the US of having many educated researchers and clinicians who have tackled the vaccine question for decades. They know what circulates in the US, what poses the highest risk for our children and what we need to do to prevent mortality and morbidity. These are the people who we turn to in order to get guidance about vaccines schedules. We know that the news has brought into question vaccines and the schedule that has been validated for years. We know you have questions. We invite you to ask us those questions, and we will give you honest answers. Vaccines are not something we recommend to get "kick backs" or do so blindly knowing that kids are having adverse effects. Vaccines are the forefront of pediatrics and one of the biggest medical marvels ever. We are fortunate to be able to offer vaccines to patients and will continue to do so as per the AAP recommendations. Many parents ask if we are concerned about access to the recommended vaccines with the CDC changes, and at this time, the Washington Department of Health (as part of the West Coast Health Alliance) continues to advocate for the vaccines as per the AAP. We are always happy to discuss if any vaccines can be given on an earlier schedule if there are concerns about access. Here are some links for more information: https://doh.wa.gov/newsroom/west-coast-health-alliance-continues-recommend-vaccination-alignment-american-academy-pediatrics-aap https://downloads.aap.org/AAP/PDF/AAP-Immunization-Schedule.pdf?_gl=1*il3ebr*_ga*NDM3MjgyNDYwLjE3NjUyNDg0NDI.*_ga_FD9D3XZVQQ*czE3NjgyODE0NzEkbzckZzAkdDE3NjgyODE0NzEkajYwJGwwJGgw
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As everyone has probably heard at this point, there are confirmed cases of measles in and around Spokane and all over the country. Our job as your family's pediatric provider is to provide accurate, scientific information about illnesses such as measles and ways in which you can keep your family and others protected. Measles is HIGHLY contagious . It will linger in a space for 2 hours after the infected person leaves. Often, we tell patients that you can do your best to avoid a sick-appearing person (maybe someone with a rash), but if you happen to step into a space in which a person with measles was within 2 hours of that person leaving, you are at-risk of contracting the virus. The MMR vaccines is highly effective. After the 1st dose, a person is 93% protected and with 2 doses on-board, the protection is 97%. We typically give the MMR at 1 year old and 4 years old; however, doses can be done as early as 6 months old* (especially if there is upcoming travel or concern for exposure during an outbreak). We can also give them closer together than 1 year and 4 years. We know there can be questions surrounding vaccines, especially the MMR. We are always happy to answer these questions, but in brief, there has been NO link between the MMR vaccine (or any vaccine for that matter) and autism. Someone who is immunocompromised is at great risk of serious complications of the measles virus, and since the MMR vaccine is a live-virus vaccine someone who has a suppressed immune system cannot get the vaccine themselves. 92-94% of the population needs to be immune to measles (by vaccination or history of infection) in order to limit/prevent spread of the illness. Some retro things are fun and cool... like My Little Pony, Lincoln Logs and Strawberry Shortcake, but one thing is for sure, and that is that measles is absolutely not. As a pediatric practice, we know how a successful vaccine can save the lives of so many, and we will continue to do our part to protect children. *A dose given at less than 1 year old does not qualify for the 2-dose series needed for school entry and confirmed immunity; however, it counts that you may protect your child against measles.
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