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
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Dr. Nakatsui as Guest Dermatologist on CTV News at Noon
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
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.
Online Booking for HydraFacial and Coolsculpting consults
We are now offering direct online booking for Hydrafacial MD and Coolsculpting consultations at the Groot DermaSurgery Centre in Edmonton. We will eventually expand this to include bookings for HydraFacial treatments and other services so you can book them whenever you want to without having to wait on the phone when our lines are busy.
Online bookings for Botox
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
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.
Facial Vein Removal
Annoying, squiggly, red vessels develop around the nose and over the cheeks largely due to years of sun exposure but heredity can also play a role. Some make up will cover it but not well. Targeted laser light can zap these dilated facial veins away leaving normal skin. Toss out the cover up make up and commit to a better complexion. https://nakatsuiderm.com/treatments/laser-vein-removal/
Dr. Groot Retires
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
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/
Post Tattoo Regrets
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
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
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)
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
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?
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.
New Cleansing Routine May Cause A Rash
I recently heard a young woman enthusiastically describe a new cleansing routine involving the application of cooking oil followed by hot water to clean her skin. She informed me that her skin was softer and pimple free because of this new ‘natural’ regimen.
In an effort to forestall a possible skin disaster I explained that it is quite likely that this new routine might result in a condition call ‘cosmetically induced seborrhea.’ The purpose of cleansing the skin is to remove cosmetics, dirt and grime, and dead skin cells. The oil routine might successfully remove make up, however is unlikely to get at all the dirt and grime and will probably not remove the dead skin cells. If these cells are not removed they become matted to the skin. The build up causes flakiness and inflamed oil glands leaving a scaly, red rash that is sometimes itchy (seborrhea). People often interpret the flakiness as dry skin and apply more occlusive moisturizing creams or lotions to the skin. A vicious cycle begins which often results in a visit to the dermatologist.
The best cleansing routine is:
- Remove make up with a makeup remover.
- Wash the skin with warm water and a cleanser – mild soaps are better than cream cleansers. Glycerine soaps such as Pears and Neutrogena or Cetaphil Lotion are recommended.
- Wait 30 minutes after cleansing to give your skin time to replenish its natural oils. If your skin is tight and dry then a light moisturizer may be necessary. Use a moisturizer with sunscreen protection.
Controlling Winter Itch
Solutions for Winter Itch
In the winter months moisture is sucked from the air and the surface of the skin may become dry and itchy. At its worst the skin may become chapped and may even crack.
Cleansing the Skin
- Avoid bathing or showering more than once a day.
- Use lukewarm rather than hot water.
- Add unscented oils to the bath such as Aveeno or Aveeno Bath Powder.
- Use mild soaps such as Aveeno Dry Skin, Pears, and Cetaphil – minimize lather. Thoroughly rinse all soap residues from the skin.
- Use gentle shampoos and conditioners, such as Cliniderm or Johnson & Johnson Baby No Tears.
Moisturizing the Skin
- After bathing, pat the skin dry – do not rub. Apply a moisturizer while the skin is still damp. Suggested non-scented moisturizers may include: Aveeno, Moisturel, DML Fragrance Free, Glaxal base Complex 15.
- Apply moisturizers such as Aveeno to areas of dry skin such as the hands and elbows throughout the day.
Laundry
- Use unscented laundry detergents such as Tide Free, Cheer Free, All Free & Clear, Arm & Hammer Unscented, Wisk Free or Purex Unscented.
- Use very little unscented detergent with each wash cycle – 1 tablespoon for a regular load.
- Do not use fabric softeners in the washer or dryer.
- Wash all new clothing and linens five times before use or add a quarter cup of powdered milk to the second rinse cycle. The milk will bind to and remove the chemicals within the fabric, such as formaldehyde, which cause irritation.
Skin Care products
- Avoid skin care products containing alcohol and perfumes.
- Avoid scented deodorants – unscented antiperspirants are OK.
- Avoid tight fitting clothes made of material that does not breathe, such as polyesters.
Environment
- Add moisture to the air with a humidifier.
- Keep the thermostat to a comfortable level but not too warm.
Prescription Creams
If you skin becomes chapped, cracked or winter itch is keeping you up at night there are prescription creams that will restore a proper balance of moisture in the skin. See your dermatologist.