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Formerly Groot DermaSurgery

Archive for April, 2016

What is Pearl Fractional?

April 28th, 2016 | Treatments, Uncategorized


Through the advancement of laser technology, fine lines, wrinkles, and scars can become a thing of the past!  Fractional lasers such as Fraxel and Pearl Fractional place tiny holes deep in the skin selectively removing columns of damaged tissue leaving the surrounding skin intact. Patients see an improvement in photo damage, tone, and texture, as well as a noticeably smoother  and brighter complexion. The Pearl Fractional is often combined with the Pearl to achieve maximum benefit (Pearl Fusion). The photo  shows one of our patients after one treatment with Pearl Fusion. Additional benefit can be seen with more treatments.

Read more about our treatments for photoaging and learn how to rejuvenate your skin or you can call our office at (780) 482-1414 to book a complimentary consultation.


For your convenience, Botox and filler appointments, as well as Coolsculpting, Thermitight, and HydraFacial MD appointments can be booked directly online or by calling the office directly at 780-482-1414. There is a $100.00 refundable deposit required to reserve an appointment using the online booking service (please note there is a $20.00 administrative fee deducted from this deposit). If you cannot find a convenient time using the online scheduler, please call as there may be additional appointment times available that are not visible online.

For all other services, please call to schedule an appointment.

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Excessive Sweating

April 27th, 2016 | Uncategorized


Approximately 3 percent of the population suffer from excess sweating.  The excess sweat can be generalized all over the body or in more targeted areas such as the armpits, palms of the hands, and soles of the feet.  This condition is called of excessive sweat is termed hyperhidrosis.  Excessive sweating becomes noticeable after puberty. Stressful situations such as examinations, job interviews, or an important date often aggravate the sweating. Sometimes, it takes almost nothing for the sweating to start and once it starts, it usually worsens until the affected person can get away from everyone else and cool down. Unfortunately, most over the counter antiperspirants do not control hyperhidrosis.

Treatments For Excessive Sweating

Aluminum Chloride Hexahydrate
Treatment aims to control the excessive sweating; it is not a permanent cure. A topical agent known as aluminum chloride hexahydrate in absolute alcohol is available in Canada without a prescription under the name of Drysol.

Other Treatment Options
Usually localized applications of aluminum chloride hexahydrate provide satisfactory sweat control. When this regime does not work, other options may include internal medications (such as anticholinergics), electrophoresis, a technique utilizing a device called the Drionic machine, dilute formalin (for sweaty feet). In very rare cases surgery is necessary to remove the sweat glands or cut the nerve responsible for their stimulation.

Neuromodulator Injections

Sweat Inhibiting or Neuromodulator Injections, such as botox,  have proven to markedly reduce sweating for an average of 6 months after 1 or 2 treatments.

When used correctly, neuromodulators are highly effective therapy for excessive sweating and effects can last 6 months or more in the majority of patients. Patients who have had Botox injections for excessive sweating are amazed by the positive change such a simple treatment can have. They often tell us that Botox injections free them from their fear of social embarassment!

Neuromodulators are highly purified proteins that interfere with the transmission of nerve impulses to the sweat glands. Consequently, once the neuromodulator has been injected around the sweat glands, they can no longer sweat for 6 months or more. Eventually the body recovers its ability to transmit nerve impulses to the sweat glands. At that point, the sweat glands can be reinjected.

It’s a very simple process and patients are usually extremely happy with the results as it essentially eliminates the need to worry about the excessive sweating for many months at a time!


If you have any additional questions, please do not hesitate to contact our clinic at (780)482-1414 to book a complimentary consultation.



Is this a worrisome mole?

April 20th, 2016 | Uncategorized

MoleThe answer is, unfortunately, yes.

One of Dr. Nakatsui’s patients presented this mole to him and when presented this mole, Dr. Nakatsui had a strong suspicion that this oddly shaped mole could be something sinister. Through a diagnostic biopsy performed by Dr. Nakatsui at the Groot DermaSurgery Centre, the results confirmed that the mole was indeed a malignant melanoma, the most worrisome form of skin cancer.

What made Dr. Nakatsui concerned about the mole? We can look at the ABCDE’s of mole checking.

AAsymmetry: The mole is asymmetrical in shape. If you draw a line through the middle, it is not perfectly symmetrical.

BBorder: The border is uneven and ill-defined. Malignant melanomas typically have uneven, scalloped, or notched borders.

CColour: The colour variation in this mole was subtle, however there are elements of light and dark brown, and even some shades of dark blue. Having a multitude of colours in a single mole can be a warning signal. These colours can be reds, browns, blues, whites, and/or blacks.

DDiameter: The physical size of the mole was another concern for Dr. Nakatsui. The mole was approximately 2.0cm x 1.6cm in size. Malignant melanomas usually are larger than a pencil eras in diameter (6mm), but many malignant melanomas can be smaller than 6mm in size when they are first detected.

EEvolution: This patient noted that the mole had changed in a relatively short period of time. It grew in size rapidly and it changed in colours within a few months. Any change in colour, shape, elevation, or any other trait, or even new symptoms such as crusting, bleeding, or itching should be examined by your family doctor or dermatologist.

Did you answer the question correctly? It can be difficult to determine whether a mole is good or bad and the best way to determine is to have your family doctor or dermatologist examine the moles.

Keep tabs on your moles – Take monthly photos of any or all moles. Use a ruler beside the mole and take a photo. A couple weeks to a month later, take another photo with the ruler again and determine if there is any change to the mole in size, shape, colour, etc. If you do note changes, it is time to see your doctor.

Avoid sun exposure! Wear hats, sunscreen, long shirts to cover your arms, and long pants to cover your legs. Sun exposure can increase the chances of malignant melanomas and also increase the risk of other forms of skin cancers such as basal cell carcinomas and squamous cell carcinomas.

When in doubt, check it out!

Dr. Nakatsui on CTV discussing Hair Restoration Surgery

April 13th, 2016 | Treatments, Uncategorized


Hair loss occurs in approximately 50% of males and approximately 40% of females during their life time. Hair loss can affect an individual’s self-esteem and affect how they live their daily lives. Dr. Thomas Nakatsui is a dermatologist who specializes in hair transplants, using the most advanced, state-of-the-art techniques in hair transplant surgery. At the Groot Dermasurgery Centre, he has performed hair transplant surgery for over 15 years with great success and is a recipient of the Consumers’ Choice Award for hair restoration.

Dr.Nakatsui has trained extensively with Dr. Jerry Wong in the state-of-the-art follicular unit transplantation using the lateral slit technique, for creating the most natural-looking hair transplant possible. Dr. Nakatsui is a member of the American Academy of Dermatology, the Canadian Dermatology Association, the American Society of Cosmetic Dermatology and Aesthetic Surgery, the American Society of Hair restoration surgery, as well as a member of the International Society of Hair Restoration Surgery.

Please click on the link below to watch Dr. Nakatsui discuss the hair transplant surgery and to see some before and after photos.

If you have any questions, please feel free to contact our clinic at (780)482-1414 or visit our dedicated hair transplant websiteThank you and have a great day!