Call: 780-482-1414 Email: info@nakatsuiderm.com
Formerly Groot DermaSurgery

Author Archive

Golf, Ticks and Lyme Disease


June 8th, 2016 | General Info

tickThe beauty of many of our Alberta golf courses is the tree lined fairways. I can attest to the fact that I have had up close and personal encounters with some of these trees while tromping through the underbrush in an attempt to find my ball. Having read an article written by Michelle Gagnon in the Rocky Mountain Outlook about Ticks and the risk of the Lyme disease I am more inclined to take the penalty strokes and leave the ball where it lies.

 

Lyme disease is caused by a bacterium called Borrelia burgdorferi. The bacterium is spread from small animals to humans by little biting arachnids called ticks. Ticks are like vampires – they attach to you and suck away, quite possibly and inadvertently leaving behind the bacterium called Borrelia burgdorferi. The name of the bacterium is not as important as the damage it can do if a person is unfortunate enough to be exposed to it.

One of the first signs of Lyme disease is a bulls-eye rash around the site of the tick bite. Not all people get this rash so early detection may be missed. Other symptoms in the early stages are: fatigue; chills; headaches; joint and muscle pain and/or swollen lymph nodes. If you experience these flu- like symptoms after you have been in or near tree and shrub bed areas it may be prudent to visit your family doctor.

tick bite

If untreated the consequences may become more severe – possibly involving the central and peripheral nervous systems; the joints; and the heart. Afflicted individuals often experience extreme fatigue and general weakness.

Specialized tests are necessary to confirm the diagnosis of Lyme disease. Treatment depends on the symptoms and where in the body the bacterium has settled.

As with many medical conditions awareness and prevention is the best approach. After you, your family members and your pets have been romping in the woods do a self check to insure that one of these little critters has not attached itself to your skin. If a tick has decided to tag along for the ride home remove it with caution. Using tweezers grasp the tick’s head and mouth parts as close to the skin as possible and pull gently. Do not traumatize the tick by squeezing or twisting it – this can cause the tick to regurgitate its stomach contents into your blood. Yuck!  As much as you may wish to destroy it – resist the urge. Place it in a zip lock bag as it may provide important information if you develop symptoms.

For more information, go to the Public Health Agency of Canada website http://www.phac-aspc.gc.ca/id-mi/lyme-fs-eng.php.

Happy Holidays from the Groot DermaSurgery Centre


December 25th, 2015 | Uncategorized

Christmas at Groot DermaSurgery CentreHappy holidays to all from Dr. Nakatsui and all the staff from the Groot DermaSurgery Centre. We want to wish everyone the best over the holiday season!

The office is closed for the week and will reopen on December 28th, 2015.

Dr. Nakatsui As Guest Dermatologist On CTV News – Dec. 14, 2015


December 15th, 2015 | General Info, Treatments

Have you wanted to know more about Botox Cosmetic, Dermal Fillers, and CoolSculpting for fat reduction?  Dr. Nakatsui was on CTV News at Noon on December 14 to explain to Marni Kuhlmann and viewers on how Botox, Dermal Fillers, and CoolSculpting treatments work, and how they can each enhance one’s appearance. Dr. Nakatsui shows photos of how Juvederm helped a woman with a slight ridge on her nose. He also shows a photo of a woman who wanted to fill in her nasolabial folds around her nose and mouth area, to lessen the creases, and it showed great results. CTV Edmonton’s Marni Kuhlmann also asks about CoolSculpting, a procedure that freezes away fat, and inches. To book a consultation, or to inquire about these treatments, you can call (780) 482-1414 or e-mail info@grootdermasurgery.com. To watch the clip, click on the title of this post and then you will be able to click on the link : Dr. Nakatsui on CTV Edmonton December 14, 2015

Dr. Nakatsui as Guest Dermatologist on CTV News at Noon


November 23rd, 2015 | General Info, Treatments

Dr. Nakatsui was the guest Dermatologist on CTV Edmonton News at Noon today.  He spoke with Marni Kuhlmann about Botox® Cosmetic, Fillers, and Facial Rejuvenation.  Dr. Nakatsui showed some Before and After photos of patients who have had filler for their lips, as well as Botox® for crows feet (around the eyes) and frown lines.  He introduces ThermiTight™ for facial rejuvenation which uses a radio frequency technology to tighten the skin, and shrink fat.

You can watch Dr. Nakatsui on the CTV Edmonton News at Noon here: http://edmonton.ctvnews.ca/ctv-news-at-noon, click on the broadcast for Monday, November 23, 2015, and advance to 36min 30sec to watch.

 

The Magic of Botox® Cosmetic


November 18th, 2015 | Treatments

The magic of Botox has not changed. It remains the gold standard for relaxing muscles to address dynamic wrinkles. The magic of the Holiday Season does not change either. Combining Botox and the Holiday Season will help you look and feel your best as you celebrate this fun filled time of year.

Botox Cosmetic® is a natural purified protein that blocks impulses from the nerves to the tiny facial muscles responsible for the deep muscle pull creases. Consequently, the muscles relax so that the undesirable creases gradually fade away. After treatment, the overlying skin remains smooth and unwrinkled while the untreated facial muscles contract in a normal fashion, allowing desirable facial expression to be unaffected, yielding a natural rejuvenation.

Book your appointment early so that you get the results you want when you want.

Support for TELUS World of Science


November 4th, 2015 | General Info

Dr. Nakatsui attended the TELUS World of Science Annual Fundraising Gala at the Shaw Conference Centre on November 4, 2015. He was happy to attend on behalf of the Groot DermaSurgery Centre and donate funds to support science education at the TELUS World of Science.

Online bookings for Botox


October 18th, 2015 | General Info

The Groot DermaSurgery Centre recently introduced online bookings for Botox appointments. Dr. Nakatsui thought this would make it more convenient for tech-savvy patients who want to book their appointments with their web browsers, even in the middle of the night or while on vacation from the cold of an Edmonton winter! Though many patients still prefer to phone, we have already had positive feedback with our online bookings.

Thanks for the Compliment


April 6th, 2015 | General Info

A patient called our office the other day to tell us that we do ‘an excellent job’ and to say ‘how very impressed’ they are with our service. In turn, we would like to thank this patient for taking the time from their busy schedule to thank us for a job well done. It lifts our spirits to know that we are achieving excellence in the services that we provide to our patients.

Dr. Groot Retires


November 20th, 2014 | General Info

groot-108

After 34 years of serving the skin care needs of many of the citizens of Edmonton and Alberta, Dr. Groot has decided to retire. He does so with mixed emotions but knows that all his patients will be well served by the many competent dermatologists in the community.

The Groot DermaSurgery Centre will continue to operate under the direction of Dr. Thomas Nakatsui, dermatologist and as such will provide the same high quality care to our patients through a wide variety of skin care services including, but not limited to:

  • skin rejuvenation including BOTOX Cosmetic®  and dermal fillers (Juvéderm®, VOLUMA®, VOLBELLA ®)
  • 3D rejuvenation
  • laser hair removal
  • CoolSculpting for unwanted fat
  • pigment removal by laser (tattoos, lentigines, blue black birthmarks)
  • vascular treatments by laser (facial veins, birthmarks)
  • small and medium size leg vein treatments
  • mole removal
  • laser treatments of onychomycosis (nail fungus)
  • hair transplants

Many of these conditions do not require a referral. Our patient coordinators will be happy to advise you as to what is required to book an appointment.

Dr. Groot extends his gratitude for all the support he has received over the years from the medical community and his patients.

Laser Hair Removal


October 9th, 2014 | Treatments

There is no question that one of the best medical technologies that have been developed of the last 20 years is LASERS. Their applications are many and varied and they have revolutionized the treatment of the skin. We can remove brown, blue, black and red discolorations from the skin without leaving a scar. But of all the laser skin treatments one the best by far is LASER HAIR REMOVAL. One zap of laser light can disable hundreds of hair follicles stunting and eventually preventing them from growing. Think of it – no more waxing, shaving, plucking – the shear freedom of it. As always there are caveats. If you have blond or grey hair in the area you want treated (eg upper lip) then you are probably not a candidate. Darn! But for the rest of you with dark hair in places you simply don’t want it you are a candidate. Try it – you will be amazed. https://nakatsuiderm.com/treatments/laser-hair-removal/

Party Season


October 6th, 2014 | General Info

Party Season is just around the corner. Please consider booking your appointments for Botox Cosmetic and/or Dermal Fillers (Juvederm, Voluma, Volbella) at your earliest convenience to ensure that we can accommodate you.

Post Tattoo Regrets


January 20th, 2014 | Conditions, Treatments

 

tattoo image
Post tattoo regrets are common. You went to a party and after a couple of drinks a group of you decided now was the time to be bold and get the tattoo you always wanted or you decided that you and your mate should solidify your relationship with matching tattoos only to discover a month later that he or she has flown the coup but the tattoo is permanent. Then there is the rebellious phase where you want to show the world that you are different and that you won’t conform to social norms even though the crowd you run with all have tattoo. Whatever the reason for your post tattoo regrets lasers now offer a permanent solution to tattoo removal. Depending on the type and amount of ink, the colour, and the size laser tattoo removal requires some patience. However it is possible to remove an unwanted tattoo with lasers without leaving a big scar or removing to much of your natural pigment. Removing unwanted tattoos is something we do every day at the Groot DermaSurgery Centre. Lasers are our business and we do it well. See Laser Pigment Removal under Treatments for more details.

‘Tis the Season to Look Your Best


November 20th, 2013 | General Info

Edmonton dermatologist, Dr. Don Groot suggests five quick treatments to enhance your natural beauty:

  • Microdermabrasions exfoliate the superficial dead skin cells of the face, increasing the production of new cells resulting in a fresh, polished appearance.
  • IPL (Intense Pulsed Light) treatments reduce pigment and red discoloration to improve your complexion.
  • Muscle Relaxants soften frown lines and crow’s feet giving a relaxed and rejuvenated appearance.
  • Juvéderm fills creases around the mouth enhancing your smile and those kissable moments.
  • CoolSculpting freezes away pockets of unwanted fat in just a couple of hours so that your party clothes look particularly attractive.

Not Allowed


April 2nd, 2013 | Treatments

Did you know that by Canadian Advertising Standards the most popular treatment for wrinkles in North America cannot be mentioned by name? Can you guess the name – it starts with a ‘B’? We can talk about what it does – relaxes muscles so that wrinkles fade away for a period of time. We can tell you the price $230.00 per syringe or $10.00 per unit but we cannot mention the name. Do you need another hint? It ends with an ‘x’. We can tell you that many celebrities in North America have this treatment done but we cannot mention the product name . OK one more hint – it has a ‘t’ right smack in the middle of the name. Did you guess the name?

Getting Rid of the Number Elevens (Frown Lines)


March 11th, 2013 | Conditions, Treatments

Some of my most engaging conversations take place in the change room at the gym. The latest was with a fellow gym mate. She has been going to a spa for ‘laser’ treatments to the creases between her eye brows. After her fifth treatment she was feeling a bit discouraged as she did not see much change.

My gym mate is unlikely to see results as the creases between the eyebrows are ‘dynamic wrinkles’ caused by repeat muscle movement. To erase the lines between the eyebrows it is necessary to stop the muscle movement. This is achieved by injecting inhibiting agents into the Glabellar muscles. Within days of the injection the frown lines usually disappear. These treatments are temporary and need to be repeated every 3 to 6 months.

My gym mate should also be aware that ‘laser’ treatments at a spa are best used for fine, superficial wrinkles. Deeper rhytides, as they are known medically, require the use of wave lengths of laser light that reach deep into the dermis to realign the collagen and elastins. Such powerful lasers are only to be found in dermatology or plastic surgery centers.  The treatments are not for the faint of heart however the results are dramatic.

Top Ten Skin Care Resolutions for the New Year


January 9th, 2013 | General Info

Here are ten skin care ideas you may wish to add to your list of New Year’s Resolutions for 2013:

  • Wear sunscreen of an SPF of 45 or more whenever I am out in the sun.
  • Simplify my skin care routine – get rid of all the expensive creams.
  • Deal with unwanted fat with CoolSculpting.
  • Permanently remove unwanted hair with Laser Hair Removal.
  • Get rid of my tattoo with Laser Pigment Removal.
  • Have my ugly mole removed.
  • Age spots – gone.
  • Bring my pesky rosacea under control.
  • Deal with my hair loss.
  • Oh yes, maintain a healthy diet and exercise regularly – this will help maintain a healthy glow to my skin.

 

 

What can Catherine (Kate), the Duchess of Cambridge, do to Prevent Stretch Marks?


December 20th, 2012 | Treatments

The skin is like a large layer of spandex covering the body. If you pull on your skin and let go, it will snap back into place. When the skin is forced to stretch beyond the capacity of its natural elasticity, as is the case with rapid growth during pregnancy, stretch marks may form. The presence of increased cortisone levels in the body during pregnancy exacerbates the problem. Typically during pregnancy stretch marks occur over the abdomen, hips, buttocks and breasts.

Seen under a microscope, a stretch mark will reveal only a few elastic fibers in the centre and an abundance of curled and clustered elastic fibers at the edges. The collagen fibers, which are protein building blocks of the skin, are separated rather than grouped into bundles. These changes take place in the second layer of the skin, the dermis.

Initially stretch marks appear as red and purple lines of varying lengths and widths. Sometimes they are wrinkled and shiny. Gradually they fade to a color or shade lighter than the surrounding skin and remain that way.

So, for Kate the million dollar question is whether or not she can prevent stretch marks during pregnancy and the answer is no. There are an abundance of topical products on the market containing agents such as Vitamin E and aloe vera which claim to prevent stretch marks. These products will probably not work and they may actually result in allergic reactions.  There are also claims that moisturizing and massaging the stretched skin will encourage circulation and therefore keep the building blocks of the skin healthy. It is unlikely this will help to prevent stretch marks but it may help with the itch that sometimes occurs with dry, stretched skin.

A healthy diet rich in vitamins and minerals contributes to healthy skin and a healthy baby. Kate should also avoid unnecessary weight gain. Excess weight adds more stretch to the skin increasing the likelihood of stretch marks.

If stretch marks occur, what can be done? Some will resolve on their own once the skin is no longer under pressure and the hormones are back to normal. Others may have to be treated. Topical agents containing tretinoin in very high doses has proven effective in realigning some of the collagen and elastins in the skin. Unfortunately it is a very irritating course of action.

In the early stages of stretch mark formation when the striae are still reddish, purple in color, treatments with vascular removal lasers have proven to reduce the redness and realign the building blocks of the skin. This is the best treatment for improving the appearance of stretch marks.

Treatments to older stretch marks with lasers such as the DeepFX carbon dioxide laser have proven helpful although far from magical.