If you have a condition for the following conditions you can ask your family doctor to make a dermatology referral to Dr Chao and have your visit covered by BC Medical Services Plan (MSP).  

Dr Chao can offer consultations for the following conditions:

– Acne
– Actinic keratosis
– Seborrheic dermatitis
– Eczema (atopic and contact dermatitis and other dermatoses)
– Psoriasis
– Warts
– Seborrheic keratosis
– Rosacea
– Alopecia areata
– Skin and mole checks
– Melanocytic lesions and moles
– Melasma and hyperpigmentation
– Periorificial dermatitis

If you do not have a BC MSP you can pay for your visit ($320 for the first visit and $160 for follow-ups ) and still see Dr Chao without a  dermatology referral. 

What is BOTOX®:BOTOX® is a treated toxin produced by the bacterium Clostridium botulinum called botulinum toxin. It is used medically to treat certain muscular conditions and cosmetically remove wrinkles – it is a safe, non-surgical treatment that effectively reduces facial lines caused by overactive muscles.

How can BOTOX® help me: while you may have earned every one of your worry lines, you don’t have to show them if you don’t want to! If dynamic wrinkles are starting to make you look older or more negative, BOTOX® can help restore the rested, confident appearance you desire. BOTOX® is a remarkably safe and effective treatment which can help you control your facial expressions so that you don’t look angry or worried when you aren’t. BOTOX® treatments can help prevent the unintended display of negative feelings, and as such help some people express themselves more accurately. Instead of filling in a facial fold, it prevents it from occurring by temporarily relaxing the over-active muscles that cause the crease. It works best in the frown lines between the eyebrows, crow’s feet (fine lines around the outside of the eyes) and also for horizontal forehead lines caused by raising your eyebrows repeatedly. When injected, it temporarily blocks the impulses from the nerves to the muscles so the muscle is unable to contract. The onset of the effect of the BOTOX® Cosmetic may be rapid after 24 hours, but is not usually complete until one week after the injection.

Is it safe: side effects caused by injections of BOTOX® are not severe nor long lasting and are easily improved.

Is it painful:pain during injection of BOTOX® is minimal. Numbing creams may be used to alleviate discomfort. No pain is expected after the procedure.

How long does the effect last:effect usually lasts anywhere from 3—6 months.

For more information about safety and procedures of BOTOX^® injections please  click here.

What is BOTOX®:BOTOX® is a treated toxin produced by the bacterium Clostridium botulinum called botulinum toxin. It is used medically to treat certain muscular conditions and cosmetically remove wrinkles – it is a safe, non-surgical treatment that effectively reduces facial lines caused by overactive muscles.

Is it safe: side effects caused by injections of BOTOX® are not severe nor long lasting and are easily improved.

Is it painful:pain during injection of BOTOX® is minimal. Numbing creams may be used to alleviate discomfort. No pain is expected after the procedure.

How long does the effect last:effect usually lasts anywhere from 3—6 months.

Below, is a comprehensive list of condition that BOTOX® could be used for therapeutically.

For Chronic Migraine Headaches: BOTOX® is indicated for the prophylaxis of headaches in adult patients with Chronic Migraine (≥ 15 days per month with headache lasting 4 hours a day or longer).

For Bladder Dysfunction:

1- Overactive Bladder: BOTOX^®for injection is indicated for the treatment of overactive bladder with symptoms of urge urinary incontinence, urgency, and frequency, in adults who have an inadequate response to or are intolerant of an anticholinergic medication.

2 – Detrusor Overactivity Associated With a Neurologic Condition: BOTOX^®is indicated for the treatment of urinary incontinence due to detrusor overactivity associated with a neurologic condition (eg, SCI, MS) in adults who have an inadequate response to or are intolerant of an anticholinergic medication.

For Adult Spasticity:

1 – Adult Upper Limb Spasticity: BOTOX^® is indicated for the treatment of upper limb spasticity in adult patients to decrease the severity of increased muscle tone in elbow, wrist, finger, and thumb flexors (biceps, flexor carpi radialis, flexor carpi ulnaris, flexor digitorum profundus, flexor digitorum sublimis, adductor pollicis, and flexor pollicis longus).

2 – Adult Lower Limb Spasticity:  BOTOX^® is indicated for the treatment of lower limb spasticity in adult patients to decrease the severity of increased muscle tone in ankle and toe flexors (gastrocnemius, soleus, tibialis posterior, flexor hallucis longus, and flexor digitorum longus).

For Pediatric Upper Limb Spasticity: BOTOX^®is indicated for the treatment of upper limb spasticity in pediatric patients 2 to 17 years of age.

For Cervical Dystonia: BOTOX^®is indicated for the treatment of adults with Cervical Dystonia to reduce the severity of abnormal head position and neck pain associated with Cervical Dystonia.

For Blepharospasm and Strabismus: BOTOX^®is indicated for the treatment of Strabismus and Blepharospasm associated with dystonia, including benign essential blepharospasm or VII nerve disorders in patients 12 years of age and above.

Primary Axillary Hyperhidrosis: BOTOX^®is indicated for the treatment of severe primary axillary hyperhidrosis that is inadequately managed with topical agents. Note: safety and effectiveness of BOTOX® have not been established for the treatment of axillary hyperhidrosis in pediatric patients under age 18.

For more information about safety and procedures of BOTOX^® injections please  click here. 

Dr Zargham and Dr Chao offer general dematology consultations for acne, eczema, scars or other skin condition. Your visit can be covered by MSP if you have a referral from a general practitioner. You can ask your family doctor to make a referral to Dr Zargham or Dr Chao. Once we receive your referral, one of the staff at the front desk will contact you to book an appointment for you. 

LATISSE^®: This is an FDA-approved topical treatment used to stimulate the growth of eyelashes. LATISSE® is typically applied to the base of the upper eyelashes once per day. Most users begin to see results within four to eight weeks, with the most dramatic results appearing between weeks 12 and 16. If you stop using LATISSE® your eyelashes will eventually return to their original state.