Call: 780-482-1414 Email: [email protected]
Formerly Groot DermaSurgery

Prabotulinumtoxin A: a new type of Botox?


May 13th, 2020 | General Info

Prabotulinumtoxin A

In 2002, Botox (onabotulinumtoxin A) was the first botulinum toxin to gain FDA approval for the “temporary treatment of glabellar lines in adults.”  A recent study published in Dermatologic Surgery reviewed two Phase 2 randomized, multicenter, double-blind, placebo controlled trials with 2100 patients showed that a new version called prabotulinumtoxin A had a similar onset of action, duration of action, and adverse event profile as compared to Botox. On the market currently, we have Botox, Dysport, and Xeomin for the treatment of lines and wrinkles. We may see another agent available soon.

 

References:

1.  2019 Dec;45(12):1610-1619

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Some Thoughts on COVID-19 and the Stats


April 12th, 2020 | General Info

covid-19 stats and graphsThoughts on COVID-19

I have uploaded a video about my thoughts on some of the data about COVID-19 put out by Alberta Health. I have also included a website (link below) that has an interesting graph that shows what happens when a country starts to gain control over COVID-19.  You may need click on the title of the blog to access the video and the link. Keep in mind these are my opinions only and may be incorrect. I hope you will find some of this interesting. Stay safe.

Dr. Nakatsui

 

Link to Aatish Bhatia’s graph on logarithmic Trajectory of COVID-19 Confirmed Cases

How to Properly Put on Surgical and Procedure Masks


April 11th, 2020 | General Info

putting on masks

Surgical and Procedure Masks

Putting on masks is something new to many people. In this era of COVID-19, social distancing, and trying to avoid spreading the virus to each other, masks may be one additional layer of protection. It is by no means 100% effective but if it does seem to reduce risk.

I have put together a video on how to apply these masks safely. If you know someone who might benefit from a simple overview, please send this on to them. In addition, I have an infographic on masks that I think is informative. Unfortunately, our blog only displays small thumbnails and I need to contact our web designers to change this before I post it. Stay tuned. Hopefully by next Tuesday I will post the infographic. You may need to click on the title of the blog to access the full blog. Stay safe.

Dr. Nakatsui

 

Temporary Closure due to the COVID-19 Public Health Emergency


March 18th, 2020 | General Info

covid-19 closureTemporary Closure

On Monday, March 16, 2020, the Nakatsui DermaSurgery Centre decided to take a leading initiative and temporarily close operations to help mitigate the spread of COVID-19. This was not an easy decision. In the end, we are confident that this was the best decision to protect our patients, our staff, and our community. We have stopped all non-essential services and are in the process of contacting patients who were scheduled to see us in the next two weeks to let them know what is happening. We will do our best to reschedule everyone as soon as possible once the situation improves. For our current patients who have more urgent medical needs, Dr. Nakatsui will make himself available to see you.

It is important to remember we should not panic as this infection will be well managed for the vast majority of those affected. However, we must assist our health care system by “flattening the curve” and preventing the exponential rise in COVID-19 and reducing the number of serious cases.

We will still be answering our phones and responding to emails for the time being. If you have any questions and concerns, please feel free to contact us at 780-482-1414 or via email at [email protected].

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Clean Cyst Removal


January 30th, 2020 | Treatments

Sebaceous Cyst Removal

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!

Sebaceous Cyst Removal


September 28th, 2019 | Treatments, Video

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.

Blood Vessel (Telangiectasia) Treatments


September 24th, 2019 | Conditions

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.

Dr. Nakatsui tests Latisse on his eyelashes!


December 12th, 2018 | Uncategorized

In this video series, Dr. Nakatsui will be testing Latisse, a topical prescription that has been proven to lengthen eyelashes. He will be applying Latisse to only one set of eyelashes while leaving the other eyelashes untouched. Stay tuned for more updates and watch his eyelashes grow!

Laser Treatment of Periorbital Veins | Dr. Thomas Nakatsui


December 12th, 2018 | Conditions, General Info

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.

Please like, share, and subscribe to our Youtube channel to see all of our latest videos!

Allergan Conference – Toronto, Canada | Dr. Thomas Nakatsui


November 29th, 2018 | General Info, Treatments, Video

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.

Lipoma Removal Surgery | Dr. Thomas Nakatsui


November 27th, 2018 | Conditions, General Info, Treatments, Video

 

 

WARNING: GRAPHIC CONTENT 

VIEWER DISCRETION IS ADVISED

 

 

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.

 

     Please Like, Share, and Subscribe  to see more videos!

Party season is here!


November 20th, 2018 | Treatments

skin rejuvenation botox filler weight loss hydrafacial coolsculpting

 

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. 

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SPF — Higher really is better


July 28th, 2018 | General Info

spf sunburned man edmontonA recent study on SPF published in the Journal of the American Academy of Dermatology (JAAD, 2018; 78: 902-910) demonstrates that higher sun protection factor sunscreens really do provide additional benefit. This study evaluated skiers in a double-blind, split-face, randomized study. In this study, skiers in Vail, Colorado wore SPF 50 on one side of the face and SPF 100 on the other side of the face. They were allowed to do their normal activities and were then evaluated the next day to see if there was any evidence of sunburn erythema. The SPF 100 sunscreen side was found to be significantly more effective in protecting against sunburn.
The study supports our belief that if you are going to be out in a lot of sun, the higher the sun protection factor, the better! Another factor that may be important is that many of us apply far less sunscreen than we should, so you might think you are getting an SPF 50. However, you might be applying such a thin layer that you are only getting the equivalent of SPF 20! Consequently, make certain you apply enough sunscreen to provide adequate protection and if you decide to go to a higher sun protection factor,

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Let’s talk about scars


July 27th, 2018 | General Info, Treatments, Uncategorized

Scar treatmentScar 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.

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Non-Surgical Nose Job


May 25th, 2018 | Treatments

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.

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May is Melanoma Awareness Month


May 1st, 2018 | Uncategorized

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.

Mole

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,

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Look your best this Valentine’s Day


February 6th, 2018 | Treatments

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.

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Mental Health – Let’s talk about it.


October 11th, 2017 | Uncategorized

heart

 

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

 

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What can be done about beards?


September 15th, 2017 | General Info, Hair Transplant, Treatments

Tormund Giantsbane - Game of Thrones

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. 

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Solutions for Dry Skin


September 14th, 2017 | Conditions

Dry Skin

Dry skin is particularly noticeable during the winter months due to low humidity and cold temperatures. Other contributing factors include overuse of harsh skin care products especially those containing perfumes and preservatives, aging, and yes, your grandparents (genetics).

 

To avoid dry skin try these options:

  • Choose gentle cleansers that remove the superficial dirt and excess oil from your skin without stripping away all your natural oils.
  • Gently exfoliate the skin with a gritty cleanser or for tougher jobs micro-dermabrasions.
  • Apply a moisturizer which contains ingredients that draw moisture to the epidermis such as glycerine, urea and hyaluronic acid. Moisturizers are most effective when applied to the skin while it is damp.
  • Apply a sunscreen daily with a sun protection factor (SPF) of 45 or more. Even though the winter sun seems harmless it’s UVA and UVB rays can still damage the skin as well as tending to exacerbate dry skin.

Caution: Applying too much moisturizer to dry skin without proper cleansing may contribute to the development of seborrhoeic dermatitis, an inflammatory condition of the skin resulting in scaly,

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