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Posts Tagged ‘dermatology’

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.

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.

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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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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. 

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.

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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.

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.

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.

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.

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Sudden and exaggerated hair loss? You may have Telogen Effluvium.


August 5th, 2017 | Conditions, Hair Transplant

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.