At Nakatsui DermaSurgery, our mission is to lead in dermatologic and cosmetic surgery by embracing the latest advancements. Our Edmonton-based facility features state-of-the-art laser technology, including picosecond lasers for skin rejuvenation, scar revision, pigment removal, vascular treatments, and hair removal. We combine Botox, dermal fillers, medicated creams, Clear + Brilliant, microdermabrasion, laser resurfacing, and CoolSculpting to enhance and preserve natural beauty.
Filling in the temple points is often important in a good hair transplant. If, as you say, you don't have temple points anymore then you likely would benefit from adding temple points to balance with your newly transplanted hairline. An experienced hair transplant surgeon should be able to help you determine what you need.
Certified Dermatologist
This is a difficult question to answer with certainty. I presume by FFA you are referring to frontal fibosing alopecia. At this point, the answer to the question as to whether or not Covid-19 vaccinations might cause flares of autoimmune disease activity is still not known.
Currently, there is no evidence that vaccinated patients in the trials experienced new onset autoimmune disease. However, we do know that Covid-19 vaccinations occasionally cause significant swelling of dermal fillers, likely as a result of a pro-inflammatory effect. The good news is that these episodes of inflammation have reverted to normal within a few days, so the duration of the inflammation was self-limited.
Theoretically, there may be a small risk that vaccinations might cause a flare of interferon-mediated diseases, which would include frontal fibrosing alopecia and lichen planopilaris, as well as conditions like lupus and rheumatoid arthritis. Realistically, the risk is likely very small and if the FFA does flare, it should be controllable and likely fade quickly, although data is very limited right now.
At this point, the benefits of Covid-19 vaccination are massive, and the possibility of a flare is small. Despite this, it is still early on and I'm not sure anyone can answer this question with absolute certainty yet.
Certified Dermatologist
Coolsculpting is a great treatment for submental fat. Raynaud's is a relative contraindication but not an absolute one. We have treated many patients with Raynaud's without any problems, although we did decide to defer therapy in one patient with severe Raynaud's even though we have no evidence this would have been an issue. Paradoxical adipose hyperplasia is a rare occurrence and Raynaud's will not increase the risk of developing this. Kybella is also effective in the management of submental adiposity should you decide to pursue this.
Certified Dermatologist
I think you would do very well with approximately 4cc of fillers to accomplish your goals. You could definitely improve the appearance of your cheeks, chin, and jowls using a filler like Voluma to revolumize, lift, and sculpt the affected areas. The precise amount of filler required would require a formal evaluation by an experienced injector.
Certified Dermatologist
Although fair skinned patients do seem to stay red for longer than darker skinned patients, 5 months is a little longer than expected. From the photos, I would suspect you have some ingrown hairs causing a mild foreign body reaction, which is called pseudofolliculitis. This should improve as the hairs surface. You may want to have this evaluated by your surgeon as it is difficult to accurately assess this from the photos.
Certified Dermatologist
Such a great Dr and amazing staff! Love coming here! The nurses are always ready to answer any questions and offer treatments and ideas for my skin care! Dr Nakasui always takes the time to listen and explain. I recommend this clinic to my friends every chance I get!
It is always a treat to visit Dr. Nakatsui’s clinic. The clinic itself is beautifully designed. The staff are incredibly knowledgeable, helpful, and kind. Dr. Nakatsui is an expert and it shows. I wouldn’t trust my skin with any other dermatologist.
I have been coming to this office since Dr. Groot opened it. Dr. Nakatsui is just as kind, genuine and knowledgable as Dr. Groot. Every experience I have had there with him or one of his staff (including front staff and nurses) has been nothing but wonderful, calming and rewarding. I know almost all of the staff, and it’s such a welcoming environment, you almost feel like you’re one of the family.
Excellent service ! Always friendly and makes me feel at ease! Will continue going here. Friendly staff as well, overall a five star rating for me every time. Also very clean and covid standards are very strictly adhered to.
I’ve been attending this Dermasurgery center for years. No matter which treatment I have required, I have always been treated in the most efficient, respectful, professional manner. The long-lasting results are well worth my time and money.
Excellent. Had a hair transplant using the lateral slit with Dr. Nakatsui. Office was very professional and both Dr. Nakatsui and his team were really forthcoming on what to expect, price, and potential issues. Follow ups were good and the staff (Kelvin in particular) was fantastic. The results were really good, and I'd say I was at about full results 8-12 months after the surgery.
I find the lumpiness of my body very off putting. I had lower abdomen and inner thighs done. it is the inner thighs that bother me the most, the fat pockets are so discrete and I would like my legs to be more streamlined. The positioning of the suxtuon cups on my thighs seemed strange, it was rather to the back of my body, but I feel most of the fat is closer to the front. The procedure itself was very tolerable, although one day after I have a good deal of pain and tenderness on the abdomen, not in the thighs. I went to the gym to lift weights today and had no issues except when I would touch my stomach. Updated on 6 Apr 2017: I ended up with very minor bruising on my abdomen, but a lot of swelling! The bulge looks worse than ever. I still have a lot of tenderness there but it is slowly getting better. I feel no pain or other sensation in my thighs however, I hope pain is not indicative of the success of treatment! Updated on 10 Apr 2017: Still some pain and swelling in my lower abdomen. Thighs have not been a problem. Updated on 20 Apr 2017: My stomach is looking nicer, although it hasn't even been 3 weeks yet! No difference in my thighs sadly. My diet has been very good, but I haven't been able to exercise for a week and a half, so I'm not sure if I can ascribe it to lifestyle or the treatment. I'll probably wait until the 1 month mark to take photos, because I'm ridiculously bruised and scarred at the moment anyway. As for side effects, the pain in my abdomen had been steadily subsiding and is very minor at this point. I have some numbness too, neither of which has been too bothersome. Updated on 28 Apr 2017: I believe my stomach pooch has receded ever so slightly. I am pleased with the smoother look and hope it keeps progressing. I see no difference in my inner thighs yet sadly, which is too bad because that's what I really care to change. Updated on 13 May 2017: The little spare tire I had is basically gone. How amazing! I haven't attained my goal of seamlessness because I still have some lumpiness in my stomach from some angles but that's a minor complaint. If I lose some body fat it should look even better. I think the lumpiness is at the borders of where the coolsculpting apparatus was placed. I don't know if there's been any difference in my thighs I'm still very unhappy with their appearance but I'll keep waiting for my macrophages to eat away more fat!!! Updated on 6 Jul 2017: I am swayed to upgrade my review to "worth it". The results are apparent and I had no ill effects, so my only qualm is the price. Was it worth paying that sum to receive this modest result? Or should I have just hit the gym harder? I'm mostly pleased with how my stomach looks, although I do have "new" lumps that were not present before. It is difficult to capture in pictures, so maybe it is mostly subjective. But there is a visible transition where the apparatus was placed. Perhaps when I lose more body fat I will be able to smooth this out further. I am currently at 25% body fat, whereas my ideal/prior body composition was 22%. Once I regain my former shape I'll post another update pic. My thighs is the body part that I hate the most, and it is where I see the least difference! I've got thick legs as is from powerlifting, so I wish I could trim my inner thighs some more. I may return to the doc to see if I am a candidate for a second treatment on the thighs. Updated on 6 Jul 2017: Updated on 6 Jul 2017: Updated on 6 Jul 2017:
I'm a 43 year old male that had been extremely ill for many years with vitamin deficiency problems. The skin under my eyes had become very thin crepy and wrinkled, like a dried up old apple ... I had looked very aged, especially when I had smiled ... so, I had often worn sunglasses to hide behind. I had discussed possible treatments and was told that Restylane would be of help. Ice packs were used to numb the area and indeed it was somewhat painfull having the thin skin under my eyes being injected. The doctor had taken his time and had asked me if I was happy with how things had looked, he then filled and adjusted the area to my liking. I was somewhat bruised and discolored for many days, though I had expected such. At the same time I had also received Botox treatments for my crows feet. I have been VERY HAPPY with the results and have totally regained my confidence to SMILE! It has now been eight months and the Restylane has continued to last, though I've required more Botox. This combined treatment has taken years off my face and helped to erase the damage done by having been ill ... now I can smile without at all being self conscious. The original cost of the combined treatment was 1000 bucks ... yep, lots of money, though definitely worth it for me!
I got an infection with puss in recipient site on day 2 even though I was on antibiotics. I brought to his attention but Nakatsui refused treatment which resulted in 2 square centimeter patch with zero growth. He also refused to fix it for a whole year and said that I can shave it off if I don't like it. Only about 60% of the grafts survived elswhere and did not provide any significant density or coverage. Against my better judgement, I accepted another surgery for an additional 5K. This time grafts were spaced too far apart and again do not provide any coverage. Also, I lost most of the hair from the first surgery due to shockloss which never did grow back. So, after 15K and 2 surgeries, I look worse than I did before the surgery. Also like to add that Nakatsui and his team were joking and laughing during the entire surgery, I felt extremely uncomfortable and would have walked out if they haven't already made the incisions.
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