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Formerly Groot DermaSurgery

Botox Edmonton

best Botox Edmonton clinic

Botox is the most popular anti aging procedure in the world

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Botox is the number one anti wrinkle, anti aging treatment in Edmonton and around the world. Millions of men and women have experienced the anti aging benefit of Botox.

Botox injections are the most common esthetic procedures performed at our clinic It is an extremely common anti wrinkle procedure and one that, if done correctly, yields a completely natural and pleasing esthetic result.

botox syringe and vial Nakatsui DermaSurgery Edmonton

Dr. Nakatsui has been injecting Botox and fillers for over 20 years and is one of the premier injectors of filler and Botox in Edmonton. Our award-winning skin care and rejuvenation clinic has an exceptional reputation and track record. You can trust our Board Certified Dermatologist to give you the best possible results.

What is Botox?

Botox 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 the undesirable creases gradually fade away. After treatment, the overlying skin usually 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. In the hands of our skilled physician injector, you will still look like you–only more well-rested and youthful looking.

Botox Glabella Edmonton before and after

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Serving Sherwood Park, St. Albert, Leduc, and Edmonton
Botox Edmonton Clinic
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**Actual patient. Individual results may vary.

Which are the Three Most Common Areas Treated with Botox?

The most common area Dr. Nakatsui treats is the glabellar furrows (otherwise known as frown lines)–the vertical wrinkles that appear between the eyebrows. These are the lines that make one look angry or concerned even when happy. After treatment, these frown lines normally fade yielding a more pleasant and more youthful appearance. In the photo above, our patient is trying very hard to frown but she simply cannot!

In addition, Botox can be used to lift the brows slightly if desired as a non-surgical brow lift. Many patients really enjoy this effect as it opens up the eyes slightly and makes your expression more inviting by counteracting the drooping and sagging that occurs with age.

The crow’s feet (otherwise known as smile lines) around the eyes and under the eyes are another commonly treated area and these aging lines around the eyes usually respond very well to Botox injections. Horizontal forehead lines are the third most common area of injection. Injecting these wrinkles will help your face maintain its youthfulness. In some patients who are susceptible to eyebrow droop from Botox, Dr. Nakatsui will use micro-Botox injections to decrease their risk while still preventing the lines.

**Actual patient. Individual results may vary.

best Botox forehead lines before and after edmonton

**Actual patient. Individual results may vary.

What Other Areas can be Injected with Botox?

Botox is predominantly used in the upper face but it can also be used in the mid face and lower face. It can be used to treat gummy smiles, bunny lines of the nose, and dimpled, uneven chins and can even be used to shrink the large masseter muscles of the cheeks and slim the lower face. Many people grind their teeth at night and/or have genetically larger masseter muscles; once injected, these muscles shrink in size and effectively slim the lower part of the face.

Other areas we inject at our skin care and rejuvenation clinic include the corners of the mouth, the lips, neck bands, and the jawline (otherwise known as a Nefertiti lift). Some patients also receive injections for headaches, migraines and excessive sweating (also known as hyperhidrosis).

For most patients, the before and after changes are significant. However, not all patients are candidates for these treatments. For example, some patients will get heavy brows from injection of the forehead. After a consultation with our dermatologist, Dr. Nakatsui, he will best be able to decide which areas should be treated and which should not.

Botox Cosmetic was first used in 1983 by a dermatology and ophthalmology husband and wife by the names of Drs. Alastair and Jean Carruthers.

I Have Heard Dentists and Pharmacists Can Inject Botox. Should I see a Dermatologist for Botox?

It is true that the Colleges of Dentistry and Pharmacy have allowed their members to inject Botox in their dental offices and pharmacies and it is difficult for the patient to know who to go to. Unfortunately, many dentists and pharmacists have learned how to inject Botox through a weekend esthetics course. Just as you likely shouldn’t trust Dr. Nakatsui to do your teeth after a three day course, you probably shouldn’t trust a dentist or pharmacist to do your Botox after a three day course. See a Board Certified Dermatologist to get the best professional expert treatment you can get. Don’t be surprised if you are offered Botox at your neighbourhood Shoppers Drug Mart pharmacy one day. 

Who Performs the Botox ® Injections?

At our Edmonton skin and laser rejuvenation clinic, our dermatologist Dr. Nakatsui has been personally performing BOTOX COSMETIC ® injections for over 20 years and is committed to providing the best Botox in Edmonton. In addition, Dr. Nakatsui has carefully selected and personally trained a small number of nurses to inject fillers and Botox at Nakatsui DermaSurgery (formerly Groot DermaSurgery Centre) as we know the wait to see Dr. Nakatsui has been oftentimes tremendously long. Do yourself a favour and see a Board Certified Dermatologist or one of his carefully curated nurses to do your injections and get the best Botox results Edmonton has to offer.

How Much Does Botox Cost?

What is the cost or price of Botox? Our Edmonton clinic typically charges between $90-$230 for the forehead, $160-230 for the glabella, $180-230 for the crow’s feet, and $80 for the chin. Some areas such as the masseter muscles require more Botox, and the price rises accordingly. In Edmonton, the average cost per unit is $10/unit.

The variability in cost depends on the surface area that needs to be treated and the strength of the target muscles. Larger areas and stronger muscles requires more units and the cost goes up accordingly.

For example, men sometimes need more Botox than women for the same area simply because they have bigger, stronger muscles, although this is not always the case. Some foreheads need more Botox as some people have more active foreheads than others, whereas other foreheads need less. As a result, we price by the unit rather than by the region; if we didn’t, your cost would be higher than necessary for some patients.

**Actual patient. Individual results may vary.

botox smile lines crow's feet around and under eyes before and after

**Actual patient. Individual results may vary.

Where should I go for the best Botox Edmonton has to offer?

When it comes to Botox, it is important to do your research and decide which is the best clinic in Edmonton. We feel it is to your benefit to go to a Board Certified Dermatogist. Dr. Nakatsui has 20 years of experience with Botox and thousands of patients with positive results. We have an outstanding track record and for these reasons and others, we believe that Nakatsui DermaSurgery is your optimal choice for the best Botox Edmonton has to offer.

Frequently Asked Questions


What is Involved in Botox Injections for Wrinkles?


Botox injections are simple and safe if done correctly. Using a tiny needle, a very small amount is injected, very precisely, into the target muscle. There is a slight burning sensation as the fluid is injected. However, no anesthetic is required and normal activities can be resumed immediately, with the exception of bending over for a few hours after treatment.

How Long Does Botox Take to Work and Kick In?


Some individuals will notice a change in the first day. However, in some individuals, the results may take up to 7-10 days to take effect.

How Long will the Injections Last?


The effects will last about three-four months on average, and the muscle action will return. The duration is determined by the individual’s rate of metabolism. When the undesirable creases begin to reappear, another injection is all that is necessary to maintain the desired result. You will need to have injections three to four times a year to maintain this positive effect.

Some studies have shown that the duration of the treatment benefits increase over time. The length of time the treatment lasts varies from patient to patient.


Can Botox be Combined with Fillers?


Yes. Botox and fillers are often injected on the same day. This is often referred to as a Soft Lift ™ and it refers to the use of Botox in combination with fillers such as Juvederm and Restylane at the same visit. Many patients will combine Botox with lip fillers and cheek fillers at the same time. A combination of these two injectables can give a more rejuvenated look than either one alone by treating the face as a whole, smoothing away lines, restoring lost volume, and enhancing facial contours. Doctor Thomas Nakatsui has performed over thousands of Soft Lift ™ procedures on patients interested in non-invasive treatment to rejuvenate the appearance of the face.



botox crow's feet best before and after

**Actual patient. Individual results may vary.



Are Botox Injections Painful?


There is very little discomfort with injection, particularly when using extremely tiny 31G needles. The needle is the one diabetics use everyday and it so tiny that if it were any smaller, you would almost not be able to push fluid through it. On occasion, patients find the injections completely painless although there is more commonly a tiny sting associated with each injection. No anesthesia is required, although we will occasionally provide patients with topical anesthetic or light nitrous oxide (laughing gas) if they have needle anxiety.

What Are The Limitations Of Botox Injections?


Botox injections are effective in treating some muscle pull creases, but not all of them and the results are temporary. The injections will not improve the quality of the skin, such as fine wrinkles, texture changes, or uneven pigmentation. Treatment options for improving the quality of the skin include the 3D Rejuvenation Program, Pearl Fractional/Fusion treatments, and laser resurfacing. Botox injections will not improve sagging and redundant skin. Lifting procedures are necessary for these conditions.

Is Botox Safe?


This is a common question with new patients. Botox is very safe and has been used for decades. Doctor Thomas Nakatsui and his staff all receive Botox injections regularly. Rarely, there can be side effects, including bruising (which is temporary and can be treated with pulse dye laser), transient swelling, or a slight transient headache. Very rarely, the medication can diffuse to adjacent muscles and cause temporary unwanted muscle weakening, although this is very uncommon.

On the other hand, it is important to get genuine Botox. In the past, it was possible to get “bootleg Botox” and there were documented cases of patients receiving this bootleg Botox that ended up having severe side effects from the injections as they were getting much higher doses than they should have as a result of injectors buying cheap Botox.


Can Botox be Combined With Other Treatments?


Definitely. Botox is combined with many other treatments like HydraFacials and chemical peels, laser skin resurfacing like fractionated and fully ablative laser rejuvenation procedures, as well as laser pigment and redness removal..




What is Dysport?


Dysport is a competing brand of botulinum toxin made by a different company. They are both type A botulinum toxin: Dysport is called abobotulinumtoxin (ABO) and Botox is called onabotulinumtoxin (ONA). Dysport was first approved in 2009 whereas Botox was the first to be approved in 2002. They work in exactly the same fashion with the same risks. There are some studies that seem to indicate that Dysport may work faster in some patients. We offer both products so you can choose the one you prefer even though there is very little difference between the two. There are several different types of botulinum toxin, and some new ones are being tested.




What is Nuceiva?


Similar to Dysport and Xeomin, Nuceiva is is another competing brand of botulinum toxin made by a different company. It is also a type A botulinum toxin: Botox is called onabotulinumtoxin (ONA) and Nuceiva is called prabotulinumtoxin (PRA). You can read more about Nuceiva here.




Where Do You Inject When You Treat Migraines?


Treating migraines with Botox can be extremely helpful to some patients. One of our front staff was suffering with horrible, debilitating migraines that prevented her from working until Dr. Nakatsui injected her with Botox. Her migraines have now vanished. Not all patients will do as well as this but for some patients, it’s lifesaving. Our board-certified dermatologist injects the frown lines, the forehead, the temporalis muscles, the occipitalis muscles, the cervical paraspinal muscles, and sometimes the trapezius muscles to help alleviate migraines. In many cases, the injections are covered by Alberta Health if you meet the necessary criteria.




Migraine treatment with Botox is often covered by Alberta Health if you meet the necessary criteria. If you meet the criteria, there is no cost to the patient for Botox injections.

What is the Brilliant Distinctions program?

Brilliant Distinctions ™ is a loyalty program administered by Allergan. This program allows patients to accumulate points from the use of Botox Cosmetic, Juvederm products (such as Ultra XC, Volbella, Voluma, Volift), Belkyra, Coolsculpting, and Latisse. These points can then be redeemed for dollars off of Allergan products and services.

Brilliant Distinctions Botox Juvederm Voluma Volbella Edmonton
Botox frown lines edmonton before and after

**Actual patient. Individual results may vary

How Does Botox Work?

It is really fascinating how botulinum toxin works! Botox essentially prevents the nerve from telling the muscle to contract. Dr. Nakatsui likes to think of it like a message that has to be delivered through a door. Botox interferes with the release of acetycholine (the messenger) through the nerve ending (the door) so that it can tell the muscle (the worker) to get to work. Botulinum toxin interferes with SNARE proteins and it is these proteins that help the messenger through the door so that it can deliver the message. The human body is simply amazing and the way botulinum toxin works equally so.

neuromuscular junction botulinum toxin edmonton

Appointments and Online Bookings

Botox appointments can be made by calling the office at 780-482-1414. For your convenience, Botox appointments can also be booked 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, 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.

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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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