In this video, Dr. Nakatsui removes a sebaceous cyst from our patient’s scalp. The cyst came out whole, cleanly, and intact! Many times, if a cyst becomes infected it can adhere to the surrounding tissue making extraction trickier as it can fragment and stick to surrounding tissue.
Overall a great little surgery which great end results!
In this video Dr. Nakatsui is removing two sebaceous cysts located on the scalp. Our lovely patient graciously allowed us to film the procedure and we thank you for that!
In this video the two cysts come out relatively easily and intact as a whole. There will be several instances where we are not so lucky and the cyst may fragment or it may adhere to surrounding tissue more making extraction more difficult.
Sebaceous cysts may occur anywhere on the body at any time of our lives. They are generally not life-threatening, but when concerned about any lesion, it is always best to seek medical attention. Many patients with sebaceous cysts may leave them as they generally will not bother them. From time to time, cysts may become inflamed, painful, produce discharge, or become infected. If a cyst has had repeated infection/inflammation or self attempts to extract the contents by squeezing the cyst, this is when the cyst wall may become more adherent to surrounding tissue making it difficult to extract.
Should a cyst develop, it is advisable not to perform self surgery as any tools used to puncture the skin or extract the cyst may push unwanted bacteria into the site causing an infection. Not only that, if the wound site is not properly closed or should become infected, when it fully heals you may be left with an unwanted scar which may be difficult to treat in the future.
Broken blood vessels, or telangiectasias, are a very common and typically non-threatening condition that can affect any part of the body. Telangiectasias can naturally arise at any time, however, individuals that have chronically exposed their skin to the sun or extreme temperatures may be more susceptible to telangiectasias.
For the majority of times, once a telangiectasia appears, it rarely if ever goes away on it’s own. Over time people may notice an increase in these broken blood vessels. Usually most people do not care if the telangiectasia appears on their arms, legs, or torso as it can be easily covered; however, once they become more apparent on the face and neck, then it becomes more of a cosmetic concern.
The typical treatment for telangiectasias at our centre involves the use of a laser called the V-Beam pulsed dye laser. This laser uses a specific wave length of light to destroy the hemoglobin in the red blood cell, which is predominantly what is seen in telangiectasia. The energy is absorbed by the hemoglobin and bursts the cell. Once the treatment is complete, the body reabsorbs the vessel. Because the laser is physically bursting the vessel, a bruise may become evident which can last for approximately 5-10 days.
The treatment is fairly quick and has relatively low pain associated with it. Most of our patients say that it is similar to a rubber band being snapped onto your skin. It is advisable that should you go for a V-beam pulsed dye laser treatment (or all lasers for that fact), it is important to do your best to avoid excessive sun exposure before and after the treatment for as long as possible.
For more information, please visit our facial vein page or please feel free to contact our clinic at (780)482-1414 and any of our friendly staff will be able to assist you.
At our centre, we can treat a variety of skin conditions using the latest in laser technology. In this video, Dr. Nakatsui is treating veins located around the eye with the Cutera XEO 1064nm laser. It is really neat to watch because during treatment, instant results can be seen. For more information, please contact our clinic at (780)482-1414.
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In any field, especially medicine, it is always important to constantly learn and improve. To quote Vince Lombardi, one of the top coaches in the NFL, he said that “perfection is not attainable, but if we chase perfection we can catch excellence”. Dr. Nakatsui is in constant pursuit of perfection.
Recently, Dr. Nakatsui attended a conference sponsored by Allergan the producers of Botox, Juvederm, and Belkyra. The conference was attended by the top injectors in Canada to watch and discuss the newest and best techniques for Botox and filler injections. With these pearls and new techniques, Dr. Nakatsui is excited to pass along these techniques to his patients! For more information or to book a complimentary consultation with Dr. Nakatsui, please contact our clinic at (780) 482-1414.
In this video, we are seeing what Dr. Nakatsui sees when performing surgery. This surgery is the removal of a lipoma, a benign fatty growth that can occur anywhere on the body. Many are small, but lipomas can grow very large in size. Dr. Nakatsui makes a small excision where the lipoma is located. This particular lipoma came out relatively easily, but keep in mind that not all lipomas will be this easily extracted. To close the surgery site, Dr. Nakatsui uses a subcuticular running stitch.
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Ohhhh the Weather outside is frightful, but the fire is so delightful, and since we have places to go, I want my skin to look aglow look aglow!
Yes! The Merriest time of year is upon us. Family dinners, work Christmas parties, and having friends over for the evening is all part of this festive season! The truth of the matter is, is that we want to look our absolute best at these events. We want to have smooth skin, amazing eyes, and a body that fits perfectly into that cocktail dress. How we look at the end of the evening is a different story!
At the Groot DermaSurgery Centre, we offer various treatments that help fine-tune and tweak the little things. Don’t like the wrinkles around your eyes whenever you smile? Botox Cosmetic can be used to help treat crows feet so that when you’re smiling for photos, the wrinkles around your eyes will not steal the show. What about your skin? You want it to be flawless in those selfies. HydraFacial MD can help cleanse the skin and reintroduce important compounds back into the skin that have been lost due to the harsh summer weather.
Eyelash extensions and mascara are great ways to lengthen your lashes for a short, temporary period. A proven way to lengthen and thicken your own lashes is through the use of Latisse. Latisse is the first and only FDA-approved, science-based treatment that has been clinically proven to actually grow noticeably fuller, longer, and darker lashes. Latisse ® works by lengthening the growth phase of the hair follicles of each eyelash. By prolonging the growth phase of the eyelash follicle, the eyelash hair grows longer, fuller, and thicker
How about the double chin that is always there whenever you look back at photos? Belkyra injections and ThermiTight can help eliminate fat and improve on the appearance of double chins! That cocktail dress fit last month, but it’s a little bit more snug this month, and you’re also not happy about that little bulge? CoolSculpting is a non-surgical and non-invasive way to reduce fat with minimal downtime.
The best time to have these treatments performed is at least 2 weeks prior to your engagement. Botox can often take 10-14 days to take full effect. Fillers and any injections can cause swelling which can take up to 7 days to resolve. At the Groot DermaSurgery Centre, all Botox, Filler, and Belkyra injections are performed by Dr. Nakatsui, a board certified Dermatologist. All other procedures are performed by registered nurses trained extensively in all manners of dermatology.
If you are inquiring about any of the above treatments, please call our office at (780) 482-1414 at your earliest convenience to arrange an appropriate time or you can book online in the online appointment app below. Spots do fill up fast around this time, so calling our office well in advance can help getting the appointment time you want.
Thank you and we look forward to hearing from you!
Appointments and Online Bookings
ThermiVa is a feminine anti-aging procedure that reclaims, restores, and revives feminine wellness. If this is of interest to you, you can call us at 780-482-1414 to schedule your consultation. However, we have found that some patients are uncomfortable bringing this up with our front staff and if you prefer, you can book a consultation appointment directly online.
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, you may call us as there may be additional appointment times available that are not visible online.
For all other services, please call to schedule an appointment.
Fields marked with an asterisk (*) must be filled out to complete this form.
Please note that you WILL receive a confirmatory email upon successful completion of this online request. If you do not receive a confirmatory email, please contact our office by telephone to ensure that your request was successfully completed.
Scar treatment can be challenging and requires a multi-dimensional approach in order to be successful. A scar can be the centre of attention but can also be a source of annoyance. For some individuals, scars are a part of who they are, whereas for others they are intrusive and cause insecurity. They can be caused by a variety of reasons such as acne scarring, trauma, and surgery.
Some individuals have thickened keloid scarring, where a scar becomes raised and discoloured. In order to treat the thickened aspect of the scar, many times cortisone injections will be utilized to reduce the thickness of the scar.
On the opposite end of thickened scars, people may get pitted scars where the skin sinks in various regions. These types of pitted scars can be tricky to treat; however, with improvement in technologies and techniques, pitted scars can often be improved. In some cases, Dr. Nakatsui will use an ablative laser to smooth out the skin and reduce the harsh edges that cause shadowing.
A new approach is to promote collagen re-growth in the region. Through the use of a technology called Percutaneous Collagen Induction (PCI), many tiny needles create tiny holes in the skin. The creation of these tiny holes stimulates collagen formation to help fill in the areas of depressed scarring.
Scar treatment also encompasses hyperpigmentation (darker pigmentation), hypopigmentation (lighter pigmentation), and erythema (redness). Hyperpigmentation and erythema can be treated fairly successfully with various lasers. Unfortunately, hypopigmented scars are more difficult to treat and currently there is no reliable solution to permanently bring colour back into a scar once the colour is gone.
Certain scars due to trauma are very visible to the human eye because the lines of the scar are fairly linear. Surgically removing the scar and carefully using various closure techniques to break up the linear scar can greatly reduce the appearance of a scar.
Scarring can impact an individual’s self-confidence. With current technology, scars can be improved. For those with scars that affect their self esteem and their daily living, don’t get discouraged as there are many great options to help treat your scars.
For more information regarding the various treatment options for scars please visit: scar revision for more information or you can contact the Groot DermaSurgery Centre at (780)482-1414.
For many men and women, a nose that fits the symmetry and dimensions of their face can be an important aspect in their lives. The nose is the most central and prominent aspect of a persons face and it is able to bring together all of the features of a person’s face like beautiful symphony.
Dermal fillers such as Juvederm and Restylane offer fantastic options to help augment portions of your cheeks, lips, nose, and chin! Dr. Nakatsui, dermatologist and Medical Director at the Groot DermaSurgery Centre, is able to use dermal filler, such as Juvederm, to augment portions of the nose.
Through careful and precise injections, Dr. Nakatsui is able to correct minute bumps, imperfections, and even enhance your nose bridge. Dermal filler nose augmentation is a great non-surgical option for those wanting to address certain issues they have with their nose with minimal downtime. It is also a great treatment for those who already had a previous rhinoplasty procedure and would like to correct minuscule imperfections.
If you have any questions or you would like to book a complimentary consultation with Dr. Nakatsui, please contact our clinic at (780) 482 – 1414.
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.
Fields marked with an asterisk (*) must be filled out to complete this form.
Please note that you WILL receive a confirmatory email upon successful completion of this online request. If you do not receive a confirmatory email, please contact our office by telephone to ensure that your request was successfully completed.
May is Melanoma Awareness Month
Did you know that in 2017, approximately 7,200 Canadians were diagnosed with Melanoma? Melanoma is the most dangerous form of skin cancer that has been on the rise in Canada and across the world. If melanoma is diagnosed early, there is a high probability of successful treatment and curability! Staying vigilant and examining all lesions on your body regularly can help you stay on top of our skin health.
Here is a case example of melanoma with Dr. Nakatsui.
One of Dr. Nakatsui’s patients presented this mole to him and when presented this mole (above). 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.
A – Asymmetry: The mole is asymmetrical in shape. If you draw a line through the middle, it is not perfectly symmetrical.
B – Border: The border is uneven and ill-defined. Malignant melanomas typically have uneven, scalloped, or notched borders.
C – Colour: 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.
D – Diameter: 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.
E – Evolution: 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.
It can be difficult to determine whether a mole is good or bad and the best way to be certain is to have your family doctor or dermatologist examine your moles.
Keep tabs on your moles – Take monthly photos of any or all moles. Use a ruler and place it 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.
There is a genetic component as well. Ask your immediate and extended family members if they have had melanoma.
When in doubt, check it out!
This Valentine’s Day look your best that special someone. HydraFacial MD is an effective, non-invasive, multistep treatment that combines the benefits of next-level hydradermabrasion, a chemical peel, automated painless extractions (no pinching!) and a special delivery of Antioxidants, Hyaluronic Acid, and Peptides. It does all of this in one quick treatment that delivers real results without downtime or irritation. HydraFacials are great for both men and women!
Traditional treatments for the aging face include creams, chemical peels, microdermabrasion, photofacials, and laser resurfacing. HydraFacial MD® is a welcome new treatment option as it offers more improvement than traditional treatments such as chemical peels and microdermabrasion without the downtime of laser resurfacing.
Experience Vortex Technology™
The unique spiral design of the HydroPeel® Tips used in conjunction with the HydraFacial MD® proprietary vacuum technology and serums creates a vortex effect to easily dislodge and remove impurities while simultaneously introducing hydrating skin solutions with potent antioxidants. This multi-step process includes Vortex-Exfoliation™, Vortex-Peel™, Vortex-Extraction™, Vortex-Boost™, and Vortex-Fusion®.
What Are The Benefits Of Hydrafacial MD?
Hydrafacial MD cleanses, evenly exfoliates, and extracts to remove impurities and dead skin cells while at the same time replenishing vital nutrients into the skin. For the majority of patients, it tends to reduce fine lines & wrinkles, and plump & firm skin for long-term results you can see and feel instantly.
Other benefits include an improvement in skin tone evenness and vibrancy, an improvement in elasticity and firmness, an improvement in skin texture, and a reduction in pore size.
No idea what to get your Valentine’s? Tired of the same old Flowers and Chocolates? A HydraFacial Gift Certificate is a great present for the one you care about.
Call us today at 780-482-1414 to arrange a consultation or you can use the online booking form below.
Let’s talk about it! Mental health, let’s make it loud and clear! Mental health is nothing to be ashamed about. Anxiety, stress, depression, negative thoughts, and contemplation of suicide are very real and very serious issues. Over 250,000 Canadians will suffer from some form of depression in their life time.
Depression can be silent. Much like our shadow following us wherever we go, sometimes the shadow of depression grows larger and darker. Please know:
YOU ARE NOT ALONE
In your darkest hours where you feel as if you are drowning and can’t keep your head above water, it is OK to ask for help. Call for help, call 911, go to the emergency, make sure that you speak with someone right away and tell them how you feel.
YOU ARE NOT ALONE
If you ever had thoughts of suicide, seek help as soon as possible. If you know someone who has talked to you about committing suicide, seek help for them and let them know:
THEY ARE NOT ALONE
Together, if we make Mental Health issues loud and clear, we can all make a difference in someone’s life. Things will get better. You are important. You are cared about. You are loved. Don’t be afraid to talk and don’t be afraid to listen.
WE ARE NOT ALONE
Call the crisis line at (780) 482-HELP (4357). They are there to help you 24/7.
In today’s society having a full and lush beard is becoming more and more of a fashion statement for men. While some men are born with thick facial manes, others require treatment to aid in thickening up their beards.
Not all men are lucky like actor Kristofer Hivju (photo), more popularly known as Tormund from the HBO hit show, Game of Thrones (most of the staff at the Groot DermaSurgery Centre are very big fans of Game of Thrones).
Dr. Thomas Nakatsui, a board certified Dermatologist and hair transplant specialists, has been performing hair transplants for over 18 years. The exact reasons why men come in for a beard transplant vary.
Some men want to increase thickness, while some men have suffered some form of trauma that caused an area to scar, therefore leaving a portion of facial hair missing.
As with any hair transplant, artistry plays a major role in how the end result turns out. Hair transplants need to look natural and undetectable in appearance. Old forms of hair transplants, “plug transplants”, have yielded unnatural and very detectable results.
Having undetectable results is even more paramount whenever dealing with the face as it is always front and center. Any irregularities can be easily spotted.
To address this issue, Dr. Nakatsui follows the patient’s natural flow, angle, and direction of their beard. If hairs are placed in any strange angle, it will become very apparent that a hair transplant was performed once the hairs have grown in.
The size of the graft is important as well. A graft is a natural grouping of hairs that come in 1, 2, or 3 hair bundles. Dr. Nakatsui typically utilizes the grafts with one hair when it comes to beard hairs.
Beard hair transplants can be a great tool to help thicken up a beard. One thing to consider before having a beard hair transplant is that the donor hair, which is usually taken from the back of the scalp, may have different texture and/or colour than the recipient bearded area.
Once the transplanted hairs are placed, it will hold the same characteristics as the area where it was taken from. If there is a significant difference between the donor hair at the back of your scalp and your beard hair, it can potentially become visible and unnatural.
The beautiful thing with a beard hair transplant if it is done correctly is that it now gives the individual the choice whether or not they want to grow a beard or be clean shaven.
Because of the incredibly small incisions that Dr. Nakatsui makes during the procedure, a patient can be cleanly shaven and have no trace of scarring to the area.
For more information regarding hair transplants, please visit drnakatsui.com.
Pumpkin spice everything, leaves falling, and sweaters everyday can only mean one thing: Fall is here! This beautiful and romantic time of year can also mean changes in weather and temperature which can affect your skin. Everyday events that we take for granted, such as stronger winds, can strip away moisture from the skin. When this moisture is stripped or there are irritants in the air, your skin can become itchy or even a rash can appear! Here are some basic tips to help your skin retain moisture. The following are only tips and does not replace seeing a qualified dermatologist.
Not only is it good for the environment to decrease the amount of water used, limiting the time spent in the shower will prevent your skin from losing its moisture barrier.
Closing the bathroom door to keep moisture in the bathroom is a great way to keep your skin moist.
Hot water can irritate the skin. Try dropping the temperature to a warm setting.
Use unscented soap products on your skin.
Gently pat your skin dry with a towel.
Immediately after drying your skin, apply a non-irritating moisturizer to your skin.
Washing your hands will strip away moisture from your skin. Many individuals, especially those in the healthcare field, wash their hands several times a day. After washing your hands, lightly pat dry your hands and then immediately apply moisturizer. This will help keep moisture in your hands.
Wearing gloves when outside is not only a fashion statement, it can help protect your hands from the elements! Gloves can also help retain moisture on your skin.
Gloves also act as a physical barrier between your skin and other substances in your environment, such as chemicals, potential allergens, and objects than can cause little cuts.
Find a non-irritating laundry detergent that works for you. It will take some trial and error to find the perfect fit. Try using an unscented/hypoallergenic detergent to avoid irritation.
Cozying up next to a fireplace on a chilly autumn day can truly warm the soul. Just remember fire or any heat source can dry your skin. Try limiting your time spent directly beside any heat source. Also, don’t forget that if you are using a fireplace to have a window or door open to allow fresh air to circulate within the home!
Humidifiers are great tools to help bring back moisture into the air and decrease the chances of your skin drying out.
Yes, even with the limited hours of sun and increased cloudiness, wearing sunscreen on open portions of skin is still very important throughout the year! Many sunscreens will also provide a moisture barrier to help retain that needed moisture.
The autumn season is an incredible time of year. Don’t let dry skin bring an end to your fun. If you find that your are experiencing prolonged periods of dryness or even a rash, consult with your Dermatologist!
We’ve heard it all before: a woman falls deeply in love with her boyfriend, Kevin, and decides to have his name tattooed across her arm only to become heartbroken the following week. She is now stuck with this unwanted tattoo across her arm.
Years ago, she only had a few options: live with the regret and have his name forever inked on her skin, or try to cover it up with a second tattoo on top of her current tattoo. Various creams have been suggested; however, many of them were either ineffective or, worse yet, caused scarring due to the strong nature of the creams.
The newest and most advanced technique for removing unwanted tattoos is with laser therapy. At the Groot DermaSurgery Centre, we use the Q-switch Alexandrite laser. Various lasers are used for various conditions such as excessive hair, mole removal, or unwanted blood vessels. Each one of these conditions will require a different wavelength light.
Specific to tattoos, the laser penetrates the skin at a specific wavelength with the goal of breaking pigmented particles. Your body’s immune system then removes these pigmented particles over time. After a few treatments, the tattoo can potentially be completely erased from a person’s skin.
As with any procedure, especially those that involve lasers, it is always important to be aware of the risks and precautions surrounding the treatment. Regarding laser therapies for tattoo removal, one potential risk is hypopigmentation, or the loss of colour, of the skin. Or conversely, a person may get hyperpigmentation, or the increase in pigmentation in the skin. The laser used in tattoos cannot distinguish between naturally dark pigmented skin and a tattoo, therefore, when the tattoo is being removed, surrounding skin can potentially be affected as well.
At the Groot DermaSurgery when consulting an individual about tattoo removal, we highly suggest that the individual not have any tan in their skin before and after treatment for these exact reasons. As always, speak to a certified medical professional when dealing with any treatment. If you have any questions or you would like more information, please do not hesitate to contact the Groot DermaSurgery Centre and book a complimentary consultation for your specific needs or please visit this link.
*At the Groot DermaSurgery Centre we love Kevins and even employ a Kevin at our facility! We only used your name as an example*
When it comes to Fillers and Botox®, it is important that you know what the product is and who is doing the treatment and to be wary of discount botox or discount filler injections as the long term results can be more costly. Dr. Nakatsui has been asked to consult on many patients who have had problems with their fillers and Botox.
Having an approved physician that has been properly trained in the use of Botox or dermal fillers is very important. Not only is the cosmetic end result important, but also having the knowledge and training should there be any complications. As with any elective procedure, it is important to know who will be doing the procedure and what types of products they will be using.
As we age, our natural fat pads and bone density decrease. Excessive motion in the face can cause wrinkling around the eyes, forehead, and mouth. Through the use of Botox® Cosmetic and Dermal Fillers such as Restylane and JUVÉDERM®, patients can achieve amazing and wonderful results that can help reduce fine lines, smooth out sunken areas of the face such as the cheeks and nasolabial folds, or to enhance the lips.
Dr. Thomas Nakatsui, a board certified Dermatologist, has used and implemented approved Botox® Cosmetic and Dermal Fillers such as Restylane and JUVÉDERM® with great success for over 15 years. Using a variety of techniques, Dr. Nakatsui is able to help patients rejuvenate their face and help patients achieve a more youthful look.
If you have any questions, please feel free to visit our website at nakatsuiderm.com or do not hesitate to call our office at (780)482-1414 and any of our friendly staff will be able to assist you. Thank you and have a great day!
Telogen Effluvium
(Scalp Hair Thinning Due to a Shift in the Hair Cycle)
The sudden loss of exaggerated amounts of scalp hair is quite a common complaint, particularly in women. This shift in the hair cycle, creating a hair loss pattern called “telogen effluvium”, usually occurs suddenly. This is not associated with isolated bald patches of the scalp, or with excessive crusting or infections of the hair follicles. It may “unmask” male/female pattern hair loss, revealing thinning on the top of the scalp. In these cases, treatment is required for both problems.
NORMAL HAIR CYCLE
When a scalp hair begins to grow in each individual hair follicle, it remains in the “growth phase” (anagen phase) for approximately three years. This average growth phase for the scalp hair creates hair that will grow to approximately mid-back level. Some people have a longer growth phase and can grow their hair until they can almost stand on it, while others with a shorter cycle, can grow their hair no longer than shoulder length. This is an individual genetic variation.
After the growth phase, the individual hair follicles, independent of each other, convert into a “resting phase” (telogen phase), and remain in this dormant stage for approximately three months. During this time, a new hair is suddenly stimulated to grow, which eventually “pushes out” the old hairs as you comb, brush, and wash your hair. You will see these hairs coming out all of the time. This resting hair has the typical white tip on the scalp-end of the hair. This white tip is not the root, but indicates that this hair was in the resting phase, and that another hair is replacing it in the same follicle. In the normal hair cycle, approximately 85% of hairs are in the growth phase at any one time and 15% are in the resting phase. With this ration, it has been calculated that the average person will lose 100 hairs per day. If you do not shampoo every day, you will notice that on the days you do shampoo, you will lose an exaggerated number of hairs. This is normal.
TELOGEN EFFLUVIUM MYTHS:
The hair cycle and the growth phase of your hair have nothing to do with having a tight scalp or a lack of blood flow to the scalp. The tightness of your scalp is genetically determined, and has nothing to do with “circulation”.
Telogen effluvium is not associated with frequent shampooing. In fact, the healthiest scalps and hair that I see are the patients who shampoo daily.
The length of hair does not affect the growth rate.
WHAT CAUSES TELOGEN EFFLUVIUM?
It is important to remember that after the triggering event that causes a shift in the hair cycle, it takes up to three months before the hair loss is noticed. Due to this delay, it is important to look back at least three months prior to the onset of your hair loss. Following are some of the common causes of telogen effluvium:
Pregnancy and Delivery – 8-12 weeks after the delivery of a child a scalp hair loss often occurs that can be quite frightening. This is temporary, and the hair cycle will re-establish itself.
A high fever (from any cause) is a common initiator of a shift in the hair cycle from the growth phase to the resting phase, the growth phase will return to normal.
Ingestion of various anticoagulants (blood thinners) can affect the hair cycle.
Birth control pills can initiate a shift in the hair cycle, either while the patient is on them or once the patient has stopped the pills. The same type of hair loss can be experienced as with the birth of a child.
Emotions – some patients have a very sensitive hair cycle and emotionally disturbing experiences can shift the hair cycle, creating an exaggerated hair loss.
Anemia, particularly iron deficiency anemia, can influence the hair cycle in a negative way.
Any severe, systemic illness can create a shift in the hair cycle.
Hypo- or hyperthyroidism can create telogen effluvium.
Diets – any crash diet program can create a shift in the hair cycle (the HCG weight control program often influences the hair cycle).
THERAPY:
Correct the precipitating cause if it is ongoing.
Avoid aggressive combing, brushing, and back-combing of your hair.
Do not “over use” the hair dryer.
Use mild shampoos
It is important to have serum iron and iron binding capacity laboratory tests done, as there are significant number of patients who have low tissue iron levels who will not regain the growth phase of the hair without iron replacement.
It is very important to remember that once the hair cycle has shifted, it takes months for the hair cycle to re-establish itself, even in patients where the cause of the hair loss is easily determined and eliminated. Few patients never quite regain the volume of hair they had before the shift occurred. If you feel that your hair loss has gone past the preventative stage, you may need a hair loss treatment that is more intensive and more personalized to your particular issue. Thankfully there are plenty of options available in today’s market.
Zinc (Usually in the form of Stress Tabs with zinc and copper, 1 pill twice daily) and Rogaine lotion (1 ml twice daily to thin hair areas, is often helpful but may require many months of therapy).
As with any medical treatments, it is always important to check with your family doctor or dermatologist to see if any of the above medications or treatment regimens is right for you. For more information, please visit our dedicated hair transplant website at DrNakatsui.com
Dr. Thomas Nakatsui is the medical director of the Groot DermaSurgery Centre, a certified non-hospital surgical facility. Dr. Nakatsui is a dermatologist that specialises in ultra-refined hair transplantation, using the lateral slit technique. He is a Fellow of the Royal College of Physicians and Surgeons of Canada and is board certified in both the United States and Canada. He completed his medical training and residency in Dermatology at the University Of Alberta and received additional training at several Centres of Excellence including Harvard, the Johns Hopkins Medical Centre, the Massachusetts General Hospital, and the Mayo Clinic.
You’re working out, eating well, and simply doing all of the right things. You look in the mirror and see your abs toning up; your biceps getting bigger. Things are going great… except, your just not satisfied with your chest because it still has some fatty deposits that make it appear like breasts. Fatty deposits on the chest can affect many males and can be difficult to treat on your own no matter how strict you are with diet and exercise.
In comes CoolSculpting, a non-invasive technology that freezes away stubborn fat. An applicator is placed on the problem area, in this case the chest, and gently targets and cools unwanted fat cells in the selected area. Millions of CoolSculpting Procedures have been performed worldwide with great success! The Groot DermaSurgery Centre was one of the first clinics to offer CoolSculpting in the city!
CoolSculpting can be effective in reducing the fat in the chest region of a man. However, not all man breasts are simply fatty tissue. A condition known as gynecomastia is when there is an excess of male breast tissue. In this situation, CoolSculpting may not be an ideal treatment. It is important to have a consultation for a proper assessment to determine if you are a candidate for CoolSculpting.
If you would like to book a complimentary consultation please do not hesitate to contact our clinic at (780) 482 – 1414.
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.
Fields marked with an asterisk (*) must be filled out to complete this form.
Please note that you WILL receive a confirmatory email upon successful completion of this online request. If you do not receive a confirmatory email, please contact our office by telephone to ensure that your request was successfully completed.
Do you feel like you look sad, tired, or angry even when you’re not? If so, you are not alone. Some of the most common concerns patients have when they come into the Groot DermaSurgery Centre are that they look fatigued, upset, or depressed, even though they feel well rested, energetic, and happy. For many people, how they feel on the inside is not reflected on the outside. At the Groot DermaSurgery Centre, Dr. Nakatsui can help you understand the cause of your concerns, discuss those concerns, and help determine a game plan to revitalise your appearance.
As we age, skin elasticity is lost and the skin becomes less firm. Years of expression cause wrinkling to form around the eyes and forehead. Excess sun exposure causes changes in skin texture. The natural fat pads beneath the skin that give the face shape begin to shrink and shift, resulting in loss of fullness. Even our bone density diminishes around the cheeks, chin, and temples, resulting in a hollowed appearance. Weight loss causes areas of the face to become sunken and appear less full and youthful. All of these factors affect how we look.
Understanding these anatomical changes is important as it allows Dr. Nakatsui to determine how to reverse them. Understanding how facial muscles work in conjunction with fat pads and bone structure determines where a filler or Botox should be used. Dr. Nakatsui employs a variety of treatment options and techniques tailored to your specific situation and goals. As the concept of aesthetics expands, it is no longer just about treating lines and wrinkles, but rather revitalizing specific areas of the face to meet the end goals of trying to look less fatigued, angry, or sad.
If you would like to book a complimentary consultation with Dr. Nakatsui please contact our clinic at (780) 482 – 1414 or you can book an appointment online following the link below.
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.
Fields marked with an asterisk (*) must be filled out to complete this form.
Please note that you WILL receive a confirmatory email upon successful completion of this online request. If you do not receive a confirmatory email, please contact our office by telephone to ensure that your request was successfully completed.