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

Archive for the ‘General Info’ Category

The Latest on Bleach Baths for Eczema


July 14th, 2020 | General Info

eczema bleach baths

Bleach baths are a controversial therapy for patient with atopic eczema, also known as atopic dermatitis (AD). In recent years, there has been an increase in the use of bleach baths to decrease the severity of the eczema. However, a recent review showed that while bleach baths did seem to decrease the severity of atopic eczema, it was no more effective than water baths alone. There has been a lot of research into the effect of bleach baths on Staphylococcus bacteria and it seems like the concentration of bleach used in bleach baths may not be high enough to kill bacteria. There may be other anti-inflammatory properties that have yet to be discovered.

With all of the conflicting data out there, the best summation is probably what was stated in the latest Canadian consensus statement on pediatric atopic eczema: “bleach baths have not been consistently shown to improve outcomes in AD and may be used at the discretion of the treating health care provider.”

Reference:
Lansang P et al, Approach to the Assessment and Management of Pediatric Patients With Atopic Dermatitis: A Consensus Document. Section IV: Consensus Statements on the Assessment and Management of Pediatric Atopic Dermatitis. J Cutan Med Surg.2019;23(5):32S-39S.

Effect of Topical Anesthetic Prior to Laser Treatment for Blood Vessels


July 4th, 2020 | General Info

Pulsed dye laser (PDL) is a very effective treatment for redness of the face due to enlarged blood vessels. It has proven to be very safe and effective. However, there is some discomfort from the laser pulses and while most patients have no difficulty tolerating treatment without any anesthetic, some patients do find it difficult to tolerate. Topical anesthetic can be used to decrease the discomfort of laser treatments but there has always been the question of whether the vasoconstrictive properties (i.e. constriction of blood vessels) of the anesthetic might have an adverse effect on outcome if you are trying to get rid of blood vessels.

A recent study by Chunharas et al in April of 2020 (Lasers Surg Med. 2020 Apr;52(4):307-314) demonstrates that topical anesthesia with lidocaine and tetracaine do not interfere with the efficacy of pulsed dye lasers. This is great news for those who want to receive treatments with pulsed dye lasers.

Reopening Announcement


June 11th, 2020 | General Info

Thank you for your patience! As Phase 2 is set to open on June 12, 2020, we are happy to announce that we are reopening as well! We have been following the Chief Medical Officer of Health instructions and have therefore not been able to see any of our patients since March 16, 2020, except for skin cancer patients and those with urgent needs.

We are happy to announce that we will be booking appointments for all those we had to cancel over the last few months, as well as accommodate those on our wait list. We look forward to see you back again! We thank you for your patience and understanding as we ourselves need to go through our phased approach to booking.

Sincerely,

Dr. Nakatsui

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

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]. At this time, we are monitoring the situation daily and will post when we reopen. 

For more information on COVID-19, please check the www.alberta.ca website. In addition, Dr. Nakatsui wanted to let you know about two other interesting links that contain updated information on global infection rates and a comparison between American and Canadian infection rates.

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.

 

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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, all the better. Your skin will thank you.

Sunscreen helps protect against the development of sun damage and skin cancers. We have many patients who either worked or played outside for many years and they are now seeing the after effects many years later. If you don’t believe it, go to Australia and see what percentage of people have skin cancer. Skin cancer is not fun. Protect your skin–it will thank you later.

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.

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.

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.  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.

 

Fall is here!


September 14th, 2017 | General Info

 

Portrait of beautiful girl with scarf in autumn nature

 

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.

  1. Shorten the time spent in showers and baths.

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.

  1. Apply moisturizers after wash.

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.

  1. Wearing gloves.

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.

  1. Choose the right detergent for you.

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.

  1. Limit time directly in front of the fireplace.

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!

  1. Humidifiers

Humidifiers are great tools to help bring back moisture into the air and decrease the chances of your skin drying out.

  1. Don’t forget the sunscreen

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!

 

Removing The Regretted Tattoo


August 31st, 2017 | Conditions, General Info, Treatments

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* 

What are the dangers of cheap or unapproved Botox and Dermal Fillers?


August 23rd, 2017 | General Info, Treatments

15_06_24_bargain_botox_0

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!

Crescendo at the Winspear


June 23rd, 2017 | General Info, Uncategorized

Crescendo Edmonton. Dr. Thomas and Melanie NakatsuiGiving back to the community is so important to the members of the Groot DermaSurgery Centre! Dr. Thomas and Melanie Nakatsui support many initiatives, including the Royal Alexandra Hospital, the Edmonton Opera, McDougall House, and many others. Recently, Dr. Thomas and Melanie Nakatsui and the Groot DermaSurgery Centre were proud to have been one of the principal sponsors for Crescendo, a fantastic night of entertainment presented by the fabulous John Cameron Entertainment! It was a night in support of The Mental Health Foundation and the Royal Alexandra Hospital Foundation. Almost everyone’s lives have been touched by depression and mental health issues in some way and supporting Crescendo is one way each of us can help. If you were there, thank you, and we’re pretty sure you’ll agree with us that it was an amazing, outstanding event! For more information on the event and the important initiatives it supports, click on the links above.

On a final note, as one of the speakers said, if you’re suffering from a mental health issue, “it’s okay to reach out for help…”

Something to be excited about!


April 19th, 2017 | General Info

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.

  • Your Info

Did you know?


December 30th, 2016 | General Info, Treatments

Dr. Nakatsui Double Diamond award recipient from AllerganDr. Nakatsui is one of a small number of solo physician injectors to have received Diamond and Double Diamond status from Allergan, the makers of Botox and Juvederm.

We are proud of having received this recognition but it is not essential to go to a Double Diamond provider to be certain you have an injector with expertise. When considering an injector, look for a practice that uses Botox and fillers every day. Ask about experience and training with Botox and fillers. Find out who your injector is–injectors are usually physicians, but can be nurses or pharmacists. At the Groot DermaSurgery Centre, Dr. Nakatsui personally performs all Botox and filler injections.

Be aware that Double Diamond status can be achieved by multi-physician groups and multi-location practices where Botox is distributed to multiple physicians and injectors. Therefore, not all Silver, Gold, Platinum, Diamond, and Double Diamond providers actually use the same amount of Botox or fillers.

What is Brilliant Distinctions?


December 2nd, 2016 | General Info

brilliant distinctions edmontonBrilliant Distinctions is a program provided by Allergan, the company that produces Botox and Juvederm. This program allows patients to accumulate points from the use of Botox Cosmetic, Juvederm products, Belkyra, and Latisse.

 

Botox Cosmetic is used to treat wrinkles on the forehead, the angry lines between the eyebrows, the smile lines around the eyes, and other areas as well. Juvederm products can help bring back fullness to problem areas such as the nasolabial folds, marionette lines, cheeks, and lips that lose volume as we age or lose weight.

 

Belkyra is an exciting new treatment that can help reduce fat in the dreaded double chin zone and can help improve and contour your chin and jowl line. For longer and thicker eyelashes, Latisse can be used for lusher eyelashes.

 

Each of these treatments earn points that can be used towards the purchase of future Allergan products. For more information, please visit https://nakatsuiderm.com/treatments/botox-treatments-edmonton/brilliant-distinctions/ or http://www.brilliantdistinctions.ca