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Archive for August, 2016

What Do You Do When Antiperspirants Don’t Work for Hyperhidrosis?

August 24th, 2016 | Conditions, Treatments

HyperhidrosisDespite the fact that sweating serves the very important function of cooling the body it is considered to be unacceptable in certain social settings. For example a sweaty palm during a handshake is often frowned upon whereas sweaty palms while exercising falls within most people’s tolerance level. Sweat marks under the armpits while dining at a restaurant is socially undesirable whereas arm pit sweat while working in intense heat would be considered understandable.

For those socially awkward situations antiperspirants work for most individuals to control underarm sweating. However there is a condition known as hyperhidrosis where excessive sweating in any circumstance is a problem. The problem may be limited to the armpits, but often the palms of the hands and soles of the feet produce excessive amounts of sweat as well. Antiperspirants fail to work in individuals with hyperhidrosis.

There is no cure for hyperhidrosis. The good news is that there are controls. Sweat inhibiting injections of Botox have proven to markedly reduce sweating for anywhere between 3 to 16 months (average of 6 months) after 1 or 2 treatments.  The injections have been approved by Health Canada for the treatment of excess underarm sweating.

Topical applications of aluminum chloride hexahydrate, may provide satisfactory sweat control for sufferers of hyperhidrosis.  In Canada, a 20% aluminum chloride hexahydrate alcohol solution is available without prescription under the name of Drysol.

Other options may include internal medications (such as acetycholine), electrophoreses, the Drionic machine, or dilute formalin (for sweaty feet).  In very rare cases surgery is necessary to remove the sweat glands or sever the nerve responsible for their stimulation.

If you would like more information, please do not hesitate to contact our clinic at (780) 482-1414.  Thank you!

Written By Patricia Johnston

Eye Creams – Do They Work?

August 22nd, 2016 | General Info

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Eye Creams – Do They Work?

 Knowledge is power – how is the skin around your eyes different from the rest of the skin on your face?

The skin around the eyes does not differ from the skin on your face. This is a misnomer propagated by the cosmetic industry.  Aging of the skin around the eyes is caused by heredity, sun damage, muscle pull, fat loss and gravitational pull on the skin. Often wrinkles appear first around the eyes because of the dynamic movement of the muscles around the eyes and the breakdown of the building blocks of the skin due to sun damage.  Sun damage leads to wrinkles, pigment changes and vascular discoloration which contribute to the appearance of aging. It also leads to skin cancers which if left unchecked can damage the eye itself. Another little known fact about aging around the eyes is that the eyelashes become shorter and thinner.

Are you wasting your money or do over the counter eye care products work?

The skin around the eyes is just as susceptible to sun damage as the rest of the face therefore protecting the skin around the eyes from the sun’s rays is important. The single most important over the counter product for skin around the eyes as well as the rest of the face and neck is sunscreen.

Sun glasses designed to protect against the ultraviolet rays of the sun will not only protect the delicate skin around the eyes but will also protect the eye itself from UV light which may cause cancer of the retina. A broad-brimmed hat or visor is also beneficial.

Over the counter eye care products may cause some superficial irritation which results in some slight swelling or edema around the eyes which in turn may make wrinkles less obvious. This effect is temporary and does not actually facilitate any repair. Some topical agents, such as tretinoin and glycolic acids have proven to stimulate collagen repair in the skin and to reverse some of the signs of aging. The concentration required to promote a change is generally not found in over the counter products and must be obtained from pharmacist with a prescription from a physician.

 Treatment options for reversing signs of aging around the skin include:

  • Sunscreens with an SPF of 45 or more plus protective eyewear and hats to prevent photo aging.
  • Medicated creams for superficial improvement of fine wrinkles, texture and colour around the eyes.
  • Botox Cosmetic to treat dynamic wrinkles.
  • Fractionated laser resurfacing to erase fine wrinkles and address texture changes.
  • Blepharoplasties of the upper and/or lower eyelids to reduce redundancy.
  • Latisse to promote the growth of longer and thicker eyelashes.

For more information, or to book a consultation with Dr. Nakatsui, please contact our clinic at (780)482-1414 or to book online, please fill in the fields below.

Thank you.

  • Your Info

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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The Unwanted Double Chin

August 8th, 2016 | Uncategorized


belkyra treatment for double chin best non-surgical

As we age, our skin begins to lose laxity to the point where we begin to notice areas of loose and dangling skin on areas such as our arms, abdomen, and neck.  One of the most commonly complained areas of excess skin and fat from our patients is around the chin and neck, also known as the submentum.  Because our face and neck are the most visible parts of our body that is seen the most, it can be the area that can be most bothersome, even though other areas may be affected.

The typical treatments for tightening and removing excess tissue and fat around the neck and chin is a face and neck lift surgery.  This type of surgery is still the best option for overall improvement; however, many individuals do not want to go through with a surgery or cannot take the adequate time off after surgery.   In recent years, new or improved technologies and treatments have come through to

help eliminate fat, or tighten the skin around the neck and chin.

Belkyra is a new injectable medication that is approved for the treatment and reduction of excess fat under the chin on the upper neck.  In the United States, Belkyra is called Kybella.  The treatment is non-surgical and non-invasive, and consists of a series of injections of deoxycholic acid, a naturally occurring molecule in the body that helps break down fat, into the problem areas.

CoolSculpting is a treatment that is typically associated with freezing away the fat cells of the abdomen.  Recently, however, with the addition of the CoolMini, a new applicator that treats the double chin area, patients have noticed tremendous success and improvement to their unwanted double chin.

ThermiTight is the newest and most exciting technology for tightening loose skin!  ThermiTight is a treatment whereby radiofrequency energy is applied below the skin’s surface.  This technology involves inserting a small probe under the skin so that thermal energy can be safely delivered to the fat and the tissue beneath the surface of the skin to tighten the area from underneath without endangering the overlying skin.

For some people, they love their double chins and find them endearing.  For others that do not feel the same way about their double chin, there are options.  Give our centre a call today at (780) 482-1414 to book a complimentary consultation with Dr. Nakatsui to discuss the various options and treatments for you.